Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 0101241614 | VA |
NPI | 1003014986 |
---|---|
Provider Name | Dr. Michael Yuzefovich |
First Address | Washington, DC 20037-2839 |
Second Address | Vienna, VA 22182-3873 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 06/03/2021 |