Provider Demographics
NPI:1730160052
Name:YOUNG, CURTIS S (MD)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:S
Last Name:YOUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:728 W WACKERLY ST STE 100
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640
Mailing Address - Country:US
Mailing Address - Phone:989-839-8824
Mailing Address - Fax:989-835-3398
Practice Address - Street 1:728 W WACKERLY ST STE 100
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-4724
Practice Address - Country:US
Practice Address - Phone:989-839-8824
Practice Address - Fax:989-835-3398
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010704442086S0105X, 2086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4620363Medicaid
MI4739692Medicaid
MI4739692Medicaid
I10676Medicare UPIN