Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gerald Robert Deyoung

Individual provider Pharmacotherapy Pharmacist · NPI 1902806755

Dr. Gerald Robert Deyoung is a Pharmacotherapy Pharmacist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005

Practice location Address checks out

200 Jefferson Ave SE Advantage Health Physicians And St Mary's Health Care
Grand Rapids, MI 49503-4502
Phone: (616) 752-6410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacotherapy Pharmacist (primary) Taxonomy 1835P1200X · Licence 5302027249 (MI)

Record details

NPI number1902806755
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 22, 2005
Last updated in NPPESJuly 13, 2026
Mailing address200 Jefferson Ave Se, Advantage Health Physicians And St. Mary'S Health Care, Grand Rapids, MI 49503-4502

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