Individual
JEFFREY PAUL YANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18610 FENKELL ST, DETROIT, MI 48223-2378
(313) 723-6000
(313) 424-4058
Mailing address
30 W MONROE ST STE 1200, CHICAGO, IL 60603-2420
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
YJ055460
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3071060
—
MI
Enumeration date
03/14/2006
Last updated
05/20/2020
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