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NPI Code Detail

MEDICARE: NATHAN SCOTT YAEKLE

MEDICARE: NATHAN SCOTT YAEKLE
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
1363AM0700XMedical Physician Assistant5601013838MI

General Provider Information

NPI Number : 1740053826
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN SCOTT YAEKLE
Provider Business Mailing Address
First Line : 3475 PLYMOUTH RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48105-2550
Country : US
Telephone Number : 734-995-7300
Fax Number :
Provider Business Practice Location Address
First Line : 3475 PLYMOUTH RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48105-2550
Country : US
Telephone Number : 734-995-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2023
Last Update Date : 04/07/2026

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Directions to “ NATHAN SCOTT YAEKLE ” Practice Location

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