Individual
DR. MICHAEL YURKANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3810 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 482-1004
(260) 483-7894
Mailing address
3810 NEW VISION DR, FORT WAYNE, IN 46845-1708
(260) 482-1004
(260) 483-7894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01046207A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082081
ANTHEM BC/BS
IN
05
—
200130970A
—
IN
01
—
7905
PHP
IN
Enumeration date
07/01/2005
Last updated
10/08/2022
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