Individual
SONG YOL YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
319 W DELAWARE ST, DECATUR, MI 49045-1106
(269) 423-7028
(269) 423-8282
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-7806
(269) 341-8743
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
5101013501
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114993740
—
MI
05
—
1942373089
—
MI
01
—
700H060020
BCBSM
MI
Enumeration date
11/16/2006
Last updated
09/21/2009
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