Individual
MR. CALEB ANTHONY YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
1964 W 11 MILE RD, BERKLEY, MI 48072-3046
(248) 544-9300
Mailing address
1964 W 11 MILE RD, BERKLEY, MI 48072-3046
(248) 544-9300
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006038
MI
Other
Enumeration date
06/18/2009
Last updated
02/24/2015
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