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NPI Code Detail

MEDICARE: EDWARD YOUNG

MEDICARE: EDWARD YOUNG
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1801655782
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD YOUNG
Provider Business Mailing Address
First Line : 3060 S DYE RD
Second Line :
City : FLINT
State : MI
Zip : 48507-1078
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2101 MONTCLAIR AVE
Second Line :
City : FLINT
State : MI
Zip : 48503-2220
Country : US
Telephone Number : 810-213-6404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2024
Last Update Date : 03/14/2024

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Directions to “ EDWARD YOUNG ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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