Individual
DR. GERALD ROBERT DEYOUNG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 JEFFERSON AVE SE, ADVANTAGE HEALTH PHYSICIANS AND ST. MARY'S HEALTH CARE, GRAND RAPIDS, MI 49503-4502
(616) 752-6410
Mailing address
200 JEFFERSON AVE SE, ADVANTAGE HEALTH PHYSICIANS AND ST. MARY'S HEALTH CARE, GRAND RAPIDS, MI 49503-4502
(616) 752-6410
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302027249
MI
Other
Enumeration date
07/22/2005
Last updated
07/08/2007
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