Organization
TOWN PEDIATRIC CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BESMA YAKO MIKHAIL M.D. (PRESIDENT)
(586) 859-1584
Entity
Organization
Contact information
Practice address
3755 E. 15 MILE ROAD, STERLING HEIGHTS, MI 48310
(586) 404-8008
Mailing address
3755 E. 15 MILE ROAD, STERLING HEIGHTS, MI 48310
(586) 404-8008
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301083958
MI
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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