Individual
THOMAS YANTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(800) 679-2000
Mailing address
14793 SPARROW DR, SHELBY TWP, MI 48315-4953
(313) 608-1913
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4679
CT
Other
Enumeration date
12/11/2019
Last updated
09/29/2022
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