DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CALEB ANTHONY YOUNGBLOOD, MMS, PA-C

Active Sole Proprietor

MR. CALEB ANTHONY YOUNGBLOOD, MMS, PA-C is a Medical Physician Assistant healthcare provider located in BERKLEY, Michigan. NPI 1235366014 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BERKLEY, MI

Registration Details

NPI Number
1235366014
Provider Type
Individual
Gender
Male
NPI Issued
Jun 18, 2009 (17.194101572126 yrs)
Last Updated
Feb 24, 2015
License
5601006038 (MI)
Sole Proprietor
Yes

Practice Information

Address
1964 W 11 MILE RD
BERKLEY, MI, 480723046
Browse MI providers · Browse ZIP 48072
Phone
2485449300
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in BERKLEY, MI

Name Credential NPI
KENNETH JACKSON PA-C 1033238936
VICTORIA THERESE VOROS PA-C 1316224108
LAUREN NABORCZYK PA-C 1487035275
MRS. BRANDY BLACKSTON PA-C 1790158392
MARK ROSEN PA-C 1588101091
CLAIRE WILSON 1760999049
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.