YASSA PAC LLC

Clinic/Center

Active Organization
NPI: 1962016360

Practice Address

624 E 9 MILE RD
Hazel Park, MI 48030

Phone: (248) 629-7497

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X No -
Clinic/Center 261Q00000X Yes -

Frequently Asked Questions

NPI 1962016360 is the National Provider Identifier for YASSA PAC LLC, a Clinic/Center provider located in Hazel Park, MI. This NPI was enumerated on September 2, 2020.

Quick Facts

NPI
1962016360
Type
Organization
Enumerated
Sep 2, 2020
Last Updated
Dec 16, 2020

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