Provider Demographics
NPI:1265621098
Name:MICHAEL YFF, M.D.
Entity type:Organization
Organization Name:MICHAEL YFF, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:YFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:231-526-8840
Mailing Address - Street 1:115 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HARBOR SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49740-1557
Mailing Address - Country:US
Mailing Address - Phone:231-526-8840
Mailing Address - Fax:231-526-8843
Practice Address - Street 1:115 E 3RD ST
Practice Address - Street 2:
Practice Address - City:HARBOR SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49740-1557
Practice Address - Country:US
Practice Address - Phone:231-526-8840
Practice Address - Fax:231-526-8843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301066204261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3294530Medicaid
MI3294530Medicaid