Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 4301070444 | MI |
NPI | 1730160052 |
---|---|
Provider Name | Curtis S Young |
First Address | Midland, MI 48640 |
Second Address | Midland, MI 48640-4724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 27/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4620363 | (05) | MI |
4739692 | (05) | MI |
I10676 | (02) |