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NPI Code Detail

MEDICARE: DR. JOE H YUN M.D.

MEDICARE:  DR. JOE H YUN  M.D.
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
1207RC0000XCardiovascular Disease Physician4301039735MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1060059238OTHERMIRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3A74094OTHERMIHAP
40F37550OTHERMIBCBSM
50F37550OTHERMIBCN

General Provider Information

NPI Number : 1730149857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOE H YUN M.D.
Provider Business Mailing Address
First Line : 645 BARCLAY CIR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-5804
Country : US
Telephone Number : 248-844-1010
Fax Number : 248-844-9089
Provider Business Practice Location Address
First Line : 645 BARCLAY CIR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-5804
Country : US
Telephone Number : 248-844-1010
Fax Number : 248-844-9089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 01/02/2013

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Directions to “ DR. JOE H YUN M.D.” Practice Location

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