Individual
MR. NASIM A YACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
148 E CHERRY ST, ZEELAND, MI 49464
(616) 772-1655
(616) 772-1680
Mailing address
148 E CHERRY ST, ZEELAND, MI 49464
(616) 772-1655
(616) 772-1680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301039695
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2110709
—
MI
Enumeration date
05/05/2006
Last updated
12/01/2009
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