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NPI Code Detail

MEDICARE: GERMAIN YANNICK NKOUE II

MEDICARE: GERMAIN YANNICK NKOUE II
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMI

General Provider Information

NPI Number : 1639019524
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERMAIN YANNICK NKOUE II
Provider Business Mailing Address
First Line : 205 N EAST AVE
Second Line :
City : JACKSON
State : MI
Zip : 49201-1753
Country : US
Telephone Number : 469-740-6899
Fax Number :
Provider Business Practice Location Address
First Line : 205 N EAST AVE
Second Line :
City : JACKSON
State : MI
Zip : 49201-1753
Country : US
Telephone Number : 469-740-6899
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “ GERMAIN YANNICK NKOUE II ” Practice Location

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