Provider Demographics
NPI:1205615481
Name:YUN DERY & MORGAN PC
Entity type:Organization
Organization Name:YUN DERY & MORGAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-618-0031
Mailing Address - Street 1:7151 N MAIN ST STE 212
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-1584
Mailing Address - Country:US
Mailing Address - Phone:248-618-0031
Mailing Address - Fax:248-618-0085
Practice Address - Street 1:7151 N MAIN ST STE 212
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-1584
Practice Address - Country:US
Practice Address - Phone:248-618-0031
Practice Address - Fax:248-618-0085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management