Individual
MARCOS YASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
35031 23 MILE RD, NEW BALTIMORE, MI 48047-3649
(586) 684-4574
Mailing address
PO BOX 366, HAZEL PARK, MI 48030-0366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Enumeration date
04/26/2018
Last updated
12/16/2020
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