Individual
DR. IN T YOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
29 E MAIN ST, PERU, IN 46970-2210
(765) 473-5567
Mailing address
29 E MAIN ST, PERU, IN 46970-2210
(765) 473-5567
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01030026
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100179330A
—
IN
Enumeration date
10/19/2006
Last updated
07/20/2010
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