Individual
MR. YOUNG IL SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 HOOVER, SUITE 103, WARREN, MI 48089
(586) 758-3593
(586) 758-3628
Mailing address
2600 HOOVER, SUITE 103, WARREN, MI 48089
(586) 758-3593
(586) 758-3628
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301036598
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2505017161
BCBS
—
Enumeration date
08/10/2006
Last updated
07/08/2007
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