Individual
MICHAEL J YOURZEK SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1090 W PARK PL, COEUR D ALENE, ID 83814-2785
(208) 292-0292
Mailing address
PO BOX 3648, COEUR D ALENE, ID 83816-2522
(208) 292-0292
(208) 292-0705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-176
ID
363A00000X
Physician Assistant
PA10003546
WA
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336156496
—
ID
Enumeration date
08/02/2006
Last updated
07/14/2016
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