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NPI Code Detail

MEDICARE: WASSIM M YOUNES MD, RPH

MEDICARE:   WASSIM M YOUNES  MD, RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4301082559MI
2183500000XPharmacist5302030359MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4P00363393OTHERMIMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21108267571OTHERMIBCN
31108267571OTHERMIBCBS

General Provider Information

NPI Number : 1386610764
Entity Type Code : Individual
Provider Name (Legal Business Name) : WASSIM M YOUNES MD, RPH
Provider Business Mailing Address
First Line : 1213 MASON ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2841
Country : US
Telephone Number : 313-278-2800
Fax Number : 313-278-0030
Provider Business Practice Location Address
First Line : 1213 MASON ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2841
Country : US
Telephone Number : 313-278-2800
Fax Number : 313-278-0030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 08/13/2015

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Directions to “ WASSIM M YOUNES MD, RPH” Practice Location

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