Individual
JULIE YAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1675 LEAHY ST STE 324B, MUSKEGON, MI 49442-5500
(231) 672-8700
(231) 672-8307
Mailing address
PO BOX 776982, CHICAGO, IL 60677-6782
(231) 672-2119
(313) 432-7759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101020259
MI
207RG0100X
Gastroenterology Physician
Primary
5101020259
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891131959
—
MI
Enumeration date
05/16/2013
Last updated
12/22/2022
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