| Yassa Pac Llc | |
|
624 E 9 Mile Rd Hazel Park MI 48030-1842 | |
| (248) 629-7497 | |
| Not Available |
| Full Name | Yassa Pac Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 624 E 9 Mile Rd, Hazel Park, Michigan |
| Authorized Official Name and Position | Marcos Yassa (PA-C) |
| Authorized Official Contact | 2486297497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yassa Pac Llc Po Box 366 Hazel Park MI 48030-0366 Ph: (248) 629-7497 | Yassa Pac Llc 624 E 9 Mile Rd Hazel Park MI 48030-1842 Ph: (248) 629-7497 |
| NPI Number | 1962016360 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962016360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
Bi-county Health Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 W 8 Mile Rd, Hazel Park, MI 48030 Phone: 248-541-7606 Fax: 248-541-7197 | |
Hazel Oark Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23411 John R Rd, Hazel Park, MI 48030 Phone: 248-399-8331 Fax: 248-399-3912 | |
Anha Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 704 E 9 Mile Rd, Hazel Park, MI 48030 Phone: 313-207-6210 | |
Van Dyke Medical Center P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 624 E 9 Mile Rd, Hazel Park, MI 48030 Phone: 248-541-2800 Fax: 248-548-5385 | |
Hazel Park Urgent Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 624 E 9 Mile Rd, Hazel Park, MI 48030 Phone: 248-268-2566 Fax: 248-268-2560 | |
Bi-county Medical Center Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W 8 Mile Rd, Hazel Park, MI 48030 Phone: 248-541-7606 Fax: 248-541-7197 |