Healthcare Provider Details

I. General information

NPI: 1750493532
Provider Name (Legal Business Name): MICHAEL R. YOUNKER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 8TH AVE N
BILLINGS MT
59101-0909
US

IV. Provider business mailing address

PO BOX 37000
BILLINGS MT
59107-7000
US

V. Phone/Fax

Practice location:
  • Phone: 406-238-2500
  • Fax:
Mailing address:
  • Phone: 406-238-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number10522
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: