Provider Demographics
NPI:1467798918
Name:YAKES, BARBARA LEE (DO)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LEE
Last Name:YAKES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-4025
Mailing Address - Country:US
Mailing Address - Phone:248-646-4062
Mailing Address - Fax:
Practice Address - Street 1:1251 JOSLYN AVE
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48340-2064
Practice Address - Country:US
Practice Address - Phone:586-924-0106
Practice Address - Fax:248-857-3623
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI51010095082083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine