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NPI Code Detail

MEDICARE: DARIAN R YURACK

MEDICARE: DARIAN R YURACK
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
1363A00000XPhysician Assistant10003994AIN

General Provider Information

NPI Number : 1598498941
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARIAN R YURACK
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1076
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 5255 E STOP 11 RD STE 450
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-6342
Country : US
Telephone Number : 317-865-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2022
Last Update Date : 12/01/2025

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Directions to “ DARIAN R YURACK ” Practice Location

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