Individual
JIE YAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D. PH.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202
(313) 829-7809
Mailing address
2810 ALISOP PL APT 305, TROY, MI 48084-3470
(617) 824-0572
Taxonomy
Speciality
Code
Description
License number
State
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
84351
GA
207ZH0000X
Hematology (Pathology) Physician
4301114114
MI
207ZH0000X
Hematology (Pathology) Physician
Primary
84351
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301114114
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
84351
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
12/29/2015
Last updated
05/07/2026
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