Yonan, Mazin Putrus
Yonan, Mazin Putrus is an individual health care provider with primary practice located at 2221 Livernois Rd 100, Troy MI 48083-1603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Yonan, Mazin Putrus can be contacted via phone (248) 250-9474.Contact Information
Primary practice address
2221 Livernois Rd 100
Troy MI 48083-1603
Phone: (248) 250-9474
Fax: (248) 250-9483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MY075033 | Michigan |
Profile Details
| NPI number | 1801888904 |
|---|---|
| LBN Legal business name | Yonan, Mazin Putrus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Oct 27th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801888904 | NPPES |
| Michigan | MEDICAID | 409819410 |
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