Organization
AMJAD M YAISH DO PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMJAD M YAISH DO (PRESIDENT)
(586) 469-8300
Entity
Organization
Contact information
Practice address
21620 HARRINGTON ST, CLINTON TOWNSHIP, MI 48036-2319
(586) 469-8300
Mailing address
21620 HARRINGTON ST, CLINTON TOWNSHIP, MI 48036-2319
(586) 469-8300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101013550
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4422008
—
MI
Enumeration date
12/20/2010
Last updated
02/16/2011
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