Individual
DR. MICHAEL T YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
260 HOSPITAL DR, SUITE 102, UKIAH, CA 95482-4568
(707) 463-8028
(707) 462-7382
Mailing address
PO BOX 2739, UKIAH, CA 95482-2739
(707) 463-8000
(707) 462-1111
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
OT011347
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20A10769
CA
Other
Enumeration date
12/28/2006
Last updated
06/11/2015
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