Organization
MARY A YURKO MD DERMATOLOGY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A YURKO MD (MEMBER)
(616) 459-1440
Entity
Organization
Contact information
Practice address
833 MICHIGAN ST NE, SUITE 102, GRAND RAPIDS, MI 49503-3523
(616) 459-1440
(616) 459-0313
Mailing address
910 ROSEWOOD AVE SE, GRAND RAPIDS, MI 49506-3362
(616) 459-1440
(616) 459-0313
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301066888
MI
Other
Enumeration date
12/13/2012
Last updated
06/18/2013
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