Individual
DR. FREDRIC D YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1646 45TH AVE, MUNSTER, IN 46321-3914
(219) 924-3700
(219) 924-3712
Mailing address
1646 45TH AVE, MUNSTER, IN 46321-3914
(219) 924-3700
(219) 924-3712
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24515
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100197080A
—
IN
Enumeration date
09/01/2006
Last updated
07/16/2008
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