Healthcare Provider Details
I. General information
NPI: 1336122357
Provider Name (Legal Business Name): CURTIS YAPCHAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/23/2005
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 GENESYS PKWY
GRAND BLANC MI
48439-8065
US
IV. Provider business mailing address
DEPT CH 17767
PALATINE IL
60055-0001
US
V. Phone/Fax
- Phone: 810-606-6137
- Fax:
- Phone: 800-968-6866
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207PE0004X |
| Taxonomy | Emergency Medical Services (Emergency Medicine) Physician |
| License Number | 4301067470 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 4301067470 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: