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NPI Code Detail

MEDICARE: MONICA YOUNG M.D.

MEDICARE:   MONICA  YOUNG  M.D.
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
1207Q00000XFamily Medicine Physician35056123OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11285811307OTHEROHPRACTICE NPI

General Provider Information

NPI Number : 1033107552
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA YOUNG M.D.
Provider Business Mailing Address
First Line : 3900 SUNFOREST CT
Second Line : SUITE 227
City : TOLEDO
State : OH
Zip : 43623-4475
Country : US
Telephone Number : 419-480-0700
Fax Number :
Provider Business Practice Location Address
First Line : 3900 SUNFOREST CT
Second Line : SUITE 227
City : TOLEDO
State : OH
Zip : 43623-4475
Country : US
Telephone Number : 419-480-0700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 04/29/2008

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Directions to “ MONICA YOUNG M.D.” Practice Location

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