Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 248812 | MA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 4301110987 | MI |
NPI | 1205063898 |
---|---|
Provider Name | Dr. Yousef Bader |
First Address | Bay City, MI 48708-6880 |
Second Address | Bay City, MI 48708-6831 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 10/12/2019 |