Individual
MICHAEL A YODER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
781 KEYSTONE INDUSTRIAL PARK, DUNMORE, PA 18512
(570) 558-4560
(570) 558-4564
Mailing address
PO BOX 822227, PHILADELPHIA, PA 19182-2227
(570) 558-4560
(570) 558-4564
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD073317L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019556390001
—
PA
01
—
1490035
BS
—
01
—
P0051421
RR MC
—
Enumeration date
04/25/2006
Last updated
07/08/2007
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