Provider Demographics
NPI:1700864006
Name:HUNG, YUH-LIN (MD)
Entity Type:Individual
Prefix:
First Name:YUH-LIN
Middle Name:
Last Name:HUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 S VAN DYKE RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:BAD AXE
Mailing Address - State:MI
Mailing Address - Zip Code:48413-9631
Mailing Address - Country:US
Mailing Address - Phone:989-269-9012
Mailing Address - Fax:989-269-7646
Practice Address - Street 1:1060 S VAN DYKE RD
Practice Address - Street 2:SUITE 600
Practice Address - City:BAD AXE
Practice Address - State:MI
Practice Address - Zip Code:48413-9631
Practice Address - Country:US
Practice Address - Phone:989-269-9012
Practice Address - Fax:989-269-7646
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI37660208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics