Individual
MR. DAVID YUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
4455 EDISON LAKES PKWY, MISHAWAKA, IN 46545-1442
(574) 259-1175
(574) 259-9671
Mailing address
4455 EDISON LAKES PKWY, MISHAWAKA, IN 46545-1443
(574) 259-1175
(574) 259-9671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05001860A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093750
BC/BS
IN
Enumeration date
09/27/2005
Last updated
07/08/2007
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