Individual
DONG HO YOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1359 KINGS CARRIAGE RD, GRAND BLANC, MI 48439-8786
(810) 240-9475
(810) 695-5192
Mailing address
PO BOX 1235, GRAND BLANC, MI 48480-3235
(810) 240-9475
(810) 695-5192
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301040403
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2117281
—
MI
01
—
2602500582
BCBS OF MI
MI
Enumeration date
10/24/2005
Last updated
06/08/2009
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