Individual
SOPHIA YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
19173 MACK AVE, GROSSE POINTE WOODS, MI 48236-2803
(313) 882-7883
Mailing address
118 CASS AVE, MOUNT CLEMENS, MI 48043-2204
(586) 468-7370
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004971
MI
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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