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Individual

DR. ROBERT A. YOUNT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 NAVARRE PL, SUITE 6600, SOUTH BEND, IN 46601-1156
(574) 232-7227
(574) 232-2064
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
01029584A
IN
207T00000X
Neurological Surgery Physician
Primary
01029584A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000686449
BCBS BMG NORTH CENTRAL NEUROSURGERY
IN
05
100346290
IN
01
P00933718
RR MEDICARE
IN
Enumeration date
07/06/2006
Last updated
04/13/2016
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