Individual
DR. MICHAEL YANGOUYIAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-3300
Mailing address
11404 MAPLE VALLEY DR, PLYMOUTH, MI 48170-6390
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101010785
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MY010785
BC/BS OF MICHAGAN
MI
Enumeration date
06/09/2006
Last updated
07/08/2007
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