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Individual
DR. MARK D YOUNG
Active
Individual
DR. MARK D YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MY001144
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4853750000
BCBS
MI
Enumeration date
06/27/2006
Last updated
11/07/2007
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