Individual
FADI ABU YASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47166 MICHIGAN AVE, CANTON, MI 48188-2583
(313) 974-2188
(313) 344-7456
Mailing address
47166 MICHIGAN AVE, CANTON, MI 48188-2583
(313) 974-2188
(313) 344-7456
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301085478
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417070590
—
MI
Enumeration date
04/06/2007
Last updated
03/17/2018
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