Individual
DR. JOYCE M YEGHISSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
29829 TELEGRAPH RD, SUITE 100, SOUTHFIELD, MI 48034
(248) 355-3033
(248) 355-4936
Mailing address
29829 TELEGRAPH RD, SUITE 100, SOUTHFIELD, MI 48034
(248) 355-3033
(248) 355-4936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
JY009250
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700F37202
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
—
CB0701
MEDICARE RAIL ROAD
MI
Enumeration date
12/14/2005
Last updated
05/20/2008
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