Deyoung, Gerald Robert

Deyoung, Gerald Robert is an individual health care provider with primary practice located at 200 Jefferson Ave Se Advantage Health Physicians And St. Mary'S Health Care, Grand Rapids MI 49503-4502. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Deyoung, Gerald Robert can be contacted via phone (616) 752-6410.

Contact Information

Primary practice address
200 Jefferson Ave Se Advantage Health Physicians And St. Mary'S Health Care Grand Rapids MI 49503-4502
Phone: (616) 752-6410
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 5302027249 Michigan

Profile Details

NPI number 1902806755
LBN Legal business name Deyoung, Gerald Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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