Organization
I. DAVID YANGA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISMAEL DAVID YANGA III M.D. (PRESIDENT)
(517) 548-5000
Entity
Organization
Contact information
Practice address
1315 BYRON RD, HOWELL, MI 48843-1008
(517) 548-5000
(517) 548-9058
Mailing address
1315 BYRON RD, HOWELL, MI 48843-1008
(517) 548-5000
(517) 548-9058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301084033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184760670
PERSONAL NATIONAL PROVID
—
05
—
5214028
—
MI
Enumeration date
07/10/2007
Last updated
10/15/2007
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