Individual
KEVIN YEBOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
TRINITY HEALTH IHA MEDICAL GROUP NEUROLOGY OAKLAND, 44555 WOODWARD AVENUE, SUITE 104, PONTIAC, MI 48341-5032
(248) 858-6104
(248) 858-6115
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(972) 566-5411
(972) 519-8337
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301509839
MI
2084V0102X
Vascular Neurology Physician
T0150
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2016
Last updated
09/13/2023
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