Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 5101021675 | MI |
Y | 207Q00000X | Family Doctor | 5101021675 | MI |
NPI | 1235511668 |
---|---|
Provider Name | Dr. Caesy Lewis Yarling |
First Address | Grand Rapids, MI 49503-2560 |
Second Address | Rockford, MI 49341-7524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2015 |
Last Update Date | 23/02/2021 |