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Individual

DANIEL DE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
4444 KALAMAZOO AVE SE, SUITE 200, KENTWOOD, MI 49508-4600
(616) 391-5600
(616) 391-5685
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4707284888
MI

Other

Enumeration date
11/01/2016
Last updated
03/02/2021
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