Dr. Kathleen L. Yaremchuk
Otolaryngologist (ENT Doctor)
2799 W Grand Blvd
Detroit
, Michigan 48202-2608
Dr. Kathleen L. Yaremchuk
Otolaryngologist (ENT Doctor)
2799 W Grand Blvd
Detroit
, Michigan 48202-2608
(313) 916-3275
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Kathleen L. Yaremchuk
- 2799 W Grand Blvd # K8
- Detroit, MI
- Zip : 48202-2608
- Phone : (313) 916-3275
Second Address
- Dr. Kathleen L. Yaremchuk
- 2799 W Grand Blvd
- Detroit, MI
- Zip : 48202-2608
- Fax : (313) 916-7263
- Phone : (313) 916-3275
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 046820 | MI |
National Provider Identifier
| NPI | 1023184496 |
|---|---|
| Provider Name | Dr. Kathleen L. Yaremchuk |
| First Address | Detroit, MI 48202-2608 |
| Second Address | Detroit, MI 48202-2608 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2006 |
| Last Update Date | 17/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 153170610 | (05) | MI |
| 700H262260 | BLUE CROSS-BLUE CROSS (01) | |
| B45928 | (02) | |
| KY046820 | CHAMPUS-CHAMPUS (01) | |
| KY046820 | COMMERCIAL-COMMERCIAL NUMBER (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.