Most Relevant Information
Provider Data
| NPI Number: | 1003518309 |
| Provider Name: | ANASTASIYA YASHCHUK DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2023 |
| Last Updated: | 07/11/2024 |
Provider Practice Location
11900 E 12 MILE RD STE 205
WARREN
MI
480933499
Practice Location Phone/Fax
| Phone: | 5865827033 |
| Fax: | 5865827034 |
Provider Mailing Location
27351 DEQUINDRE RD
MADISON HEIGHTS
MI
480713487
Provider Mailing Phone/Fax
| Phone: | 2489677123 |
| Fax: |