Individual
JEFFRY JAMES YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1160 KEPLER DR, GREEN BAY, WI 54311-8321
(920) 288-5500
(920) 288-5510
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31970
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30049900
—
WI
Enumeration date
07/18/2006
Last updated
06/23/2025
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