Individual
GREGORY A YANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 7TH FLOOR C.S. MOTT CHILDRENS HOSPITAL, ANN ARBOR, MI 48109-4257
(734) 936-9814
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301047606
MI
208000000X
Pediatrics Physician
4301047606
MI
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
4301047606
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2833381
—
MI
Enumeration date
08/08/2006
Last updated
11/21/2012
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