Individual
MAZIN PUTRUS YONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2221 LIVERNOIS RD, 100, TROY, MI 48083-1603
(248) 250-9474
(248) 250-9483
Mailing address
2221 LIVERNOIS RD, 100, TROY, MI 48083-1603
(248) 250-9474
(248) 250-9483
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MY075033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409819410
—
MI
Enumeration date
08/16/2005
Last updated
10/27/2011
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