Individual
YOUNG MI ERBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
52985
MN
2086S0129X
Vascular Surgery Physician
52985
MN
2086S0129X
Vascular Surgery Physician
Primary
ME137654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
ENROLLED
—
SD
05
—
ENROLLED
—
WI
01
—
P00992439
MEDICARE RAIL ROAD
MN
Enumeration date
07/19/2008
Last updated
08/31/2020
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