Individual
JAMES E YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3230 EAGLE PARK DR NE, SUITE 100, GRAND RAPIDS, MI 49525-4047
(616) 988-2229
(616) 988-2010
Mailing address
3230 EAGLE PARK DR NE, SUITE 100, GRAND RAPIDS, MI 49525-4047
(616) 988-2229
(616) 988-2010
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301063990
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3053465
—
MI
Enumeration date
04/25/2006
Last updated
07/15/2008
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