Individual
MICHAEL YANKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1216 W MAIN ST LOWR LEVEL, FESTUS, MO 63028-1654
(636) 933-4100
(636) 937-3788
Mailing address
PO BOX 68, FESTUS, MO 63028-0068
(636) 933-4100
(636) 937-3788
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
000621
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172665
HEALTHLINK
MO
01
—
177893
BLUE CROSS BLUE SHIELD
MO
05
—
303003206
—
MO
01
—
431576335
TAX ID
MO
01
—
43576335
UNITED HEALTHCARE
MO
01
—
W5876
MERCY
MO
Enumeration date
07/10/2006
Last updated
02/04/2009
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