Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 4301080468 | MI |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 4301080468 | MI |
NPI | 1043480783 |
---|---|
Provider Name | Dr. Michael Augustine Yusaf |
First Address | Auburn Hills, MI 48326-2774 |
Second Address | Auburn Hills, MI 48326-2774 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2008 |
Last Update Date | 13/01/2020 |