Organization
YEHIA I ELSAFY M D P L C
Active
Other names
Yehia I Elsafy M D P L C
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YEHIA IBRAHAM ELSAFY M.D. (OWNER)
(810) 985-6680
Entity
Organization
Contact information
Practice address
2425 MILITARY ST, BUILDING #1, PORT HURON, MI 48060-6692
(810) 985-6680
(810) 985-6809
Mailing address
4296 GRATIOT AVE, PORT HURON, MI 48060-1599
(810) 985-6680
(810) 985-6809
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301045260
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110741052
BLUE CROSS BLUE SHEILD
MI
05
—
4712788
—
MI
Enumeration date
07/05/2006
Last updated
11/10/2009
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