Individual
MANSOUR A YACOUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E SHERMAN BLVD, MUSKEGON, MI 49444-1849
(231) 672-3883
(231) 672-3973
Mailing address
1560 E SHERMAN BLVD, MUSKEGON, MI 49444-1867
(231) 672-3883
(231) 672-3973
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301072604
MI
208M00000X
Hospitalist Physician
Primary
4301072604
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4354534
—
MI
Enumeration date
06/22/2006
Last updated
04/23/2022
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