Dr. Roger L Deyoung
Foot Surgery
561 Seminole Rd
Muskegon
, Michigan 49444-3719
Dr. Roger L Deyoung
Foot Surgery
561 Seminole Rd
Muskegon
, Michigan 49444-3719
(231) 733-1144
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Roger L Deyoung
- 561 Seminole Rd
- Muskegon, MI
- Zip : 49444-3719
- Fax : (231) 733-1144
- Phone : (231) 733-1111
Second Address
- Dr. Roger L Deyoung
- 561 Seminole Rd
- Muskegon, MI
- Zip : 49444-3719
- Fax : (231) 733-1144
- Phone : (231) 733-1111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 5901001599 | MI |
National Provider Identifier
| NPI | 1396702098 |
|---|---|
| Provider Name | Dr. Roger L Deyoung |
| First Address | Muskegon, MI 49444-3719 |
| Second Address | Muskegon, MI 49444-3719 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/04/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4856110630 | BLUE CROSS BLUE SHIELD (01) | MI |
| U18506 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.