Individual
YASIR M MUKHTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD OFC, ROYAL OAK, MI 48073-6712
(248) 551-0570
Mailing address
3601 W 13 MILE RD OFC, ROYAL OAK, MI 48073-6712
(248) 551-0570
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4351045463
MI
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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