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NPI Code Detail

MEDICARE: BETTY YU GO MD

MEDICARE:   BETTY YU GO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080N0001XNeonatal-Perinatal Medicine Physician4301049522MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023015450
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTY YU GO MD
Provider Business Mailing Address
First Line : 43750 GARFIELD RD
Second Line : 211
City : CLINTON TWP
State : MI
Zip : 48038-1135
Country : US
Telephone Number : 586-226-6838
Fax Number :
Provider Business Practice Location Address
First Line : 16001 W 9 MILE RD
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48075-4818
Country : US
Telephone Number : 248-849-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 04/15/2015

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Directions to “ BETTY YU GO MD” Practice Location

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