Basic Information
| Provider Information | |||||||||
| NPI: | 1821086653 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | YONG | ||||||||
| FirstName: | ALBERT | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 LAPEER AVE | ||||||||
| Address2: | |||||||||
| City: | SAGINAW | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486071208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9897596464 | ||||||||
| FaxNumber: | 9893998233 | ||||||||
| Practice Location | |||||||||
| Address1: | 3894 MONITOR RD | ||||||||
| Address2: | |||||||||
| City: | BAY CITY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 487069298 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9896712000 | ||||||||
| FaxNumber: | 9896714000 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/06/2005 | ||||||||
| LastUpdateDate: | 09/02/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 5101008821 | MI | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 381908328 | 01 | UNITED HEALTHCARE | OTHER | 080103183 | 01 | RAILROAD MEDICARE | OTHER | 0Y00085 | 01 | HEALTHPLUS OF MICHIGAN | OTHER | 120 | 01 | COMMUNITY CHOICE OF MI | OTHER | 1981540 | 01 | MOLINA HEALTH CARE OF MI | OTHER | 080G310660 | 01 | BCBS OF MI | OTHER | 1002295 | 01 | HEALTH ADVANTAGE PPO | OTHER | 381908328 | 01 | FIRST HEALTH | OTHER | 4037221 | 01 | AETNA | OTHER | P59715 | 01 | BLUE CARE NETWORK OF MICH | OTHER | 1002295 | 01 | MCLAREN HEALTH PLAN | OTHER | 1821086653 | 05 | MI | MEDICAID | 381908328 | 01 | PPOM | OTHER | 114785 | 01 | GREAT LAKES HEALTH PLAN | OTHER | 381908328 | 01 | HCAP | OTHER |