Organization
YOUN PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY S YOUN MD (PHYSICIAN / OWNER)
(248) 273-7700
Entity
Organization
Contact information
Practice address
755 W BIG BEAVER RD, SUITE 1200, TROY, MI 48084-4900
(248) 273-7700
(248) 273-7701
Mailing address
755 W BIG BEAVER RD, SUITE 1200, TROY, MI 48084-4900
(248) 273-7700
(248) 273-7701
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
AY071818
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2406329172
BCBSM
MI
01
—
50068602
HAP
—
01
—
7062581
AETNA
MI
01
—
AY071818
LICENSE
MI
Enumeration date
02/28/2008
Last updated
06/21/2018
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