Yassa Pac Llc | |
624 E 9 Mile Rd Hazel Park MI 48030-1842 | |
(248) 629-7497 | |
Not Available |
Full Name | Yassa Pac Llc |
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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 |
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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 |
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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 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 |