MEDICARE: ROBBI ANNE YOUNG DPM

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
1	213E00000X	Podiatrist	5901002087	MI
2	332B00000X	Durable Medical Equipment & Medical Supplies	CPED4729	MI
3	224L00000X	Pedorthist	CPED4729	MI
4	213ES0103X	Foot & Ankle Surgery Podiatrist	5901002087	MI

Other Identifiers

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

General Provider Information

NPI Number	:	1992786214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBBI ANNE YOUNG DPM

Provider Business Mailing Address
First Line	:	600 PARK AVE
Second Line	:
City	:	GRAND HAVEN
State	:	MI
Zip	:	49417-2173
Country	:	US
Telephone Number	:	616-846-3400
Fax Number	:	616-846-3406

Provider Business Practice Location Address
First Line	:	600 PARK AVENUE
Second Line	:
City	:	GRAND HAVEN
State	:	MI
Zip	:	49417-1947
Country	:	US
Telephone Number	:	616-846-3400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	03/03/2026

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Directions to “ ROBBI ANNE YOUNG DPM” Practice Location

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