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Individual

DOYLE YEAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3160
Mailing address
PO BOX 1241, SOUTH BEND, IN 46624-1241
(885) 691-9888

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
01050759
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000082209
ANTHEM
IN
05
104119697
IN
05
200237940
IN
01
930081415
RAIL ROAD MEDICARE
IN
Enumeration date
03/07/2006
Last updated
04/05/2016
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