Organization
MICHAEL D. YATES, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D YATES MD (PRESIDENT)
(256) 536-4448
Entity
Organization
Contact information
Practice address
303 WILLIAMS AV SW, SUITE 1421, HUNTSVILLE, AL 35801-6008
(256) 536-4448
(256) 533-4583
Mailing address
303 WILLIAMS AV SW, SUITE 1421, HUNTSVILLE, AL 35801-6008
(256) 536-4448
(256) 533-4583
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
15293
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000082255
—
AL
Enumeration date
04/18/2007
Last updated
08/27/2008
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