Individual
MICHAEL E YENCHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
239 MERROW RD, TOLLAND, CT 06084-3915
(860) 875-9856
(860) 875-9868
Mailing address
239 MERROW RD, TOLLAND, CT 06084-3915
(860) 875-9856
(860) 875-9868
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
033291
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1332915
—
CT
Enumeration date
07/20/2006
Last updated
10/21/2011
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