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NPI Code Detail

MEDICARE: DR. MICHAEL HARRISON YARD D.O.

MEDICARE: DR. MICHAEL HARRISON YARD D.O.
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
1207QA0505XAdult Medicine PhysicianOS3047FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124241666
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL HARRISON YARD D.O.
Provider Business Mailing Address
First Line : 26375 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1263
Country : US
Telephone Number : 906-225-3630
Fax Number : 906-225-4537
Provider Business Practice Location Address
First Line : 1500 W ICE LAKE RD
Second Line :
City : IRON RIVER
State : MI
Zip : 49935-8509
Country : US
Telephone Number : 906-265-5378
Fax Number : 906-265-6332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 12/18/2012

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