Individual
LISA MARIE YOUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE RM 280, GRAND RAPIDS, MI 49503-2560
(616) 267-0118
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301511670
MI
208000000X
Pediatrics Physician
Primary
4301511670
MI
Other
Enumeration date
03/30/2020
Last updated
08/06/2024
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