Individual
DANIEL ROBERT YANICKO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
163 TOWER CIR, SOMERSET, KY 42503-3479
(606) 679-7464
Mailing address
160 W STATE ROAD 32, CRAWFORDSVILLE, IN 47933-8965
(606) 416-8541
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01081485A
IN
207X00000X
Orthopaedic Surgery Physician
14779R
LA
207X00000X
Orthopaedic Surgery Physician
35-055175
OH
207X00000X
Orthopaedic Surgery Physician
Primary
41399
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6410366
—
KY
Enumeration date
02/27/2006
Last updated
09/28/2021
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