Michael Blair Deyoung D.O.

NPI 1487861043 - Internal Medicine - 207RC0000X

NPI Details
NPI 1487861043
Gender Male
Enumeration Date 05/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1000 HARRINGTON BLVD.
MOUNT CLEMENS MI, 48043-2920, US
Phone (586) 493-8000
Fax
Business Location
413 MORAN RD
GROSSE POINTE FARMS MI, 48236-3212, US
Phone (313) 885-6119
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State Michigan
License Number 5101014995
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According to our database, Dr. Michael Blair Deyoung D.O. NPI is 1487861043, taxonomy code is 207RC0000X and license number is 5101014995, license state is located at Michigan. Michael Blair Deyoung D.O. physically located at 1000 Harrington Blvd., Mount Clemens MI, 48043-2920. NPI Number Michael Blair Deyoung D.O. has the Individual type.

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1487861043 NPI number is provided on an as is basis without warranty of any kind. 1487861043 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Blair Deyoung D.O. are for informational purposes only.