Individual
HARLEY WAYNE YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25651 COUNTY ROAD 20, ELKHART, IN 46517-2310
(574) 522-1201
Mailing address
25651 COUNTY ROAD 20, ELKHART, IN 46517-2310
(574) 522-1201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01046845
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000091944
ANTHEM
IN
01
—
080117323
RAIL ROAD MEDICARE
IN
05
—
200158990
—
IN
Enumeration date
09/26/2006
Last updated
12/06/2010
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