Individual
DR. BRIAN ALLEN YOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
821 S SCOTT RD, FORT WAYNE, IN 46814-9398
(260) 414-8449
Mailing address
821 S SCOTT RD, FORT WAYNE, IN 46814-9398
(260) 436-4428
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01045337A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000524646
ANTHEM
IN
05
—
200155350
—
IN
01
—
P00465486
RAILROAD MEDICARE
IN
Enumeration date
02/23/2007
Last updated
11/27/2016
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