Individual
DR. HENRY JOSEPH YOUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
428 1ST ST, MANISTEE, MI 49660-1595
(231) 299-1500
(231) 299-1503
Mailing address
428 1ST ST, MANISTEE, MI 49660-1595
(231) 299-1500
(231) 299-1503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301075778
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0803000512
BLUE CROSS BLUE SHIELD
MI
01
—
4301075778
STATE LICENSE
MI
Enumeration date
04/21/2006
Last updated
10/23/2015
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