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Individual

MARC A YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
605 YOSEMITE PL, MADISON, WI 53705-2443
(608) 800-2658
Mailing address
605 YOSEMITE PL, MADISON, WI 53705-2443
(608) 800-2658

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
44421
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34201000
WI
Enumeration date
03/01/2007
Last updated
05/12/2017
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