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NPI Code Detail

MEDICARE: MICHAEL D YOUNG MD

MEDICARE: MICHAEL D YOUNG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician01042806AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4110191511OTHERINMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1056161POTHERSIHO
21790837789OTHERINGROUP NPI
3000000211373OTHERANTHEM
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023045838
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL D YOUNG MD
Provider Business Mailing Address
First Line : 1155 W JEFFERSON ST
Second Line : STE 202
City : FRANKLIN
State : IN
Zip : 46131-2732
Country : US
Telephone Number : 812-372-8426
Fax Number : 812-372-8301
Provider Business Practice Location Address
First Line : 1155 W JEFFERSON ST STE 202
Second Line :
City : FRANKLIN
State : IN
Zip : 46131-2732
Country : US
Telephone Number : 317-346-3883
Fax Number : 317-346-3141
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 07/18/2019

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Directions to “ MICHAEL D YOUNG MD” Practice Location

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