Individual
WILLIAM F. YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11104 PARKVIEW CIRCLE DR, STE 110, FORT WAYNE, IN 46845-1730
(260) 460-3100
(260) 460-3130
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01054755A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140007464
RR MEDICARE
IN
05
—
200344470
—
IN
05
—
2268746
—
OH
05
—
4614080
—
MI
01
—
P00000350
RR MEDICARE
IN
Enumeration date
07/07/2005
Last updated
10/14/2022
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