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Song Yol Yu, DO
Adult Medicine Physician in Decatur, Michigan
NPI 1942373089

Song Yol Yu is an Adult Medicine Physician based in Kalamazoo, MI and is specialized in Adult Medicine. Song Yol Yu practices in Decatur, MI and has the professional credentials of DO. The NPI Number for Song Yol Yu is 1942373089 and holds a License No. 5101013501 (Michigan).

The current practice location address for Song Yol Yu is 319 W Delaware St, Decatur, MI and can be reached out via phone at 269-423-7028 and via fax at 269-423-8282.

Location: 319 W Delaware St, Decatur, MI, 49007-5341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942373089
Provider Name
Song Yol Yu
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
319 W Delaware St, Decatur, MI, 49007-5341
Phone Number
269-423-7028
Fax Number
269-423-8282
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
114993740 05 MI
700H060020 01 MI BCBSM
1942373089 05 MI
institution
Provider Business Practice Location Address Details
Address
319 W Delaware St
City
Decatur
State
Michigan
Zip
49045-1106
Phone Number
269-423-7028
Fax Number
269-423-8282
person
Provider Business Mailing Address Details
Address
319 W Delaware St
City
Decatur
State
Michigan
Zip
49045-1106
Phone Number
269-423-7028
Fax Number
269-423-8282
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
5101013501 (Michigan)
Definition
Definition to come.
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