Individual
ANN YANAGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1024 S LEMAY AVE, FT COLLINS, CO 80524-3929
(970) 663-2742
Mailing address
PO BOX 7702, LOVELAND, CO 80537-0702
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29093
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01290931
—
CO
01
—
P00276964
RAILROAD MEDICARE
CO
Enumeration date
06/04/2006
Last updated
05/11/2011
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