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Individual

DR. MICHAEL DAVID YANUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 GALL STREET, LOWER BRULE IHS HEALTH CENTER, LOWER BRULE, SD 57548
(605) 473-5526
Mailing address
107 SIOUX DR, CHAMBERLAIN, SD 57325-1741
(731) 336-8465

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-114008
IL
207R00000X
Internal Medicine Physician
Primary
047025
CT
207R00000X
Internal Medicine Physician
25296
OR
207R00000X
Internal Medicine Physician
37538
TN
207R00000X
Internal Medicine Physician
A75468
CA
207R00000X
Internal Medicine Physician
MD037534
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4120935
TN
Enumeration date
08/11/2006
Last updated
08/13/2012
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