Individual
MICHAEL S YACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8040 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-5630
(317) 567-2179
(317) 567-2191
Mailing address
PO BOX 6005, DEPT 196, INDIANAPOLIS, IN 46206-6005
(317) 567-2180
(317) 567-2191
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01029582
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000072880
—
IN
Enumeration date
03/14/2006
Last updated
11/03/2009
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