Individual
DR. MICHAEL BLAIR DEYOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 HARRINGTON BLVD., MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
413 MORAN RD, GROSSE POINTE FARMS, MI 48236-3212
(313) 885-6119
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101014995
MI
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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