Organization
MARK D YOUNG DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D YOUNG DPM (PODIATRY)
(989) 772-3588
Entity
Organization
Contact information
Practice address
405 S MISSION ST, SUITE 2, MT PLEASANT, MI 48858-2878
(989) 772-3588
(989) 772-0469
Mailing address
405 S MISSION ST, SUITE 2, MT PLEASANT, MI 48858-2878
(989) 772-3588
(989) 772-0469
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MY001144
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4853750000
BLUE CROSS BLUE SHIELD
MI
Enumeration date
12/04/2007
Last updated
04/20/2008
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