Individual
DR. JOSEPH RICHARD YACISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
315 E WARWICK DR, STE B, ALMA, MI 48801-1083
(989) 466-2663
(989) 466-4748
Mailing address
PO BOX 845, ALMA, MI 48801-0845
(989) 466-2663
(989) 466-4748
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101012516
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114737704
—
MI
01
—
2057201025
BCBS
MI
01
—
5720102
BLUE CARE NETWORK
MI
Enumeration date
08/19/2006
Last updated
02/20/2014
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