Organization
DR. MICHEAL YANKOWITZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL YANKOWITZ DPM (OWNER)
(636) 933-4100
Entity
Organization
Contact information
Practice address
1216 W MAIN ST, FESTUS, MO 63028-1654
(636) 933-4100
(636) 937-3788
Mailing address
PO BOX 68, 1216 WEST MAIN ST, FESTUS, MO 63028-0068
(636) 933-4100
(636) 937-3788
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000621
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303003206
—
MO
Enumeration date
09/11/2009
Last updated
09/11/2009
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