Individual
DR. YAZAN MUSALLEM SARSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
950 W WOOSTER ST, BOWLING GREEN, OH 43402-2603
(419) 354-8667
Mailing address
950 W WOOSTER ST, BOWLING GREEN, OH 43402-2603
(419) 373-7642
(419) 704-6758
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
34007644
OH
207P00000X
Emergency Medicine Physician
Primary
34.007644
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2292004
—
OH
Enumeration date
05/17/2006
Last updated
01/29/2016
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