Individual
DR. STUART A YABLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8005
(616) 840-9642
Mailing address
909 N WASHINGTON AVE, DALLAS, TX 75246-1520
(214) 820-9391
(214) 820-9339
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
15056
MS
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301116605
MI
208100000X
Physical Medicine & Rehabilitation Physician
H5281
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117314
—
MS
05
—
134926809
—
TX
01
—
8BZ365
BCBSTX
TX
Enumeration date
06/19/2006
Last updated
03/31/2021
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