Individual
DR. ELTON YICHAO LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 N. SUPERIOR AVENUE, BARAGA, MI 49908
(906) 353-8700
Mailing address
PO BOX 902, NORTHVILLE, MI 48167-0902
(731) 358-6654
(423) 225-8189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036174328
IL
207Q00000X
Family Medicine Physician
4301510061
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351046940
MI
Other
Enumeration date
06/01/2020
Last updated
09/17/2025
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