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Individual

RICHARD S YORK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5 N ATKINSON DR, SUITE 201, LUDINGTON, MI 49431-2918
(231) 845-7732
(231) 843-1190
Mailing address
5 N ATKINSON DR, SUITE 201, LUDINGTON, MI 49431-2918
(231) 845-7732
(231) 843-1190

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
RY046032
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020033763
RAILROAD RETIREMENT
MI
01
0205344932
BLUE CROSS BLUE SHIELD
MI
01
103141
MOLINA
MI
01
22971
PRIORITY HEALTH
MI
05
3359680
MI
Enumeration date
11/01/2006
Last updated
06/29/2010
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