Organization
MICHIGAN HOME VISITING PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARES YASIN M.D. (CEO/PRESIDENT)
(734) 421-0900
Entity
Organization
Contact information
Practice address
24418 MICHIGAN AVE, DEARBORN, MI 48124-1837
(313) 427-8826
(313) 427-8821
Mailing address
24418 MICHIGAN AVE, DEARBORN, MI 48124-1837
(313) 427-8826
(313) 427-8821
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/26/2008
Last updated
11/04/2015
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