Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 2901021579 | MI |
NPI | 1003297375 |
---|---|
Provider Name | Dr. Salwan Yousif |
First Address | Sterling Heights, MI 48310-1701 |
Second Address | Sterling Heights, MI 48310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2015 |
Last Update Date | 20/07/2018 |