MEDICARE: DR. MICHAEL J YATES M.D. ABEM

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
1	207P00000X	Emergency Medicine Physician	4301048834	MI

General Provider Information

NPI Number	:	1740357847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL J YATES M.D. ABEM

Provider Business Mailing Address
First Line	:	888 WALKER RD
Second Line	:
City	:	LEONARD
State	:	MI
Zip	:	48367-3738
Country	:	US
Telephone Number	:	248-969-1323
Fax Number	:	248-969-2811

Provider Business Practice Location Address
First Line	:	888 WALKER RD
Second Line	:
City	:	LEONARD
State	:	MI
Zip	:	48367-3738
Country	:	US
Telephone Number	:	248-969-1323
Fax Number	:	248-969-2811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	07/10/2012

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