Doctor Name: | DR. MICHAEL HARRISON YARD |
NPI Number: | 1124241666 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS3047 |
Business Practice Address: | 1500 W Ice Lake Rd Iron River, MI - 499358509 |
Business Phone Number: | 9062655378 |
Business Fax Number: | 9062656332 |
Mailing Address: | 26375 Network Pl, CHICAGO |
State: | IL |
Postal Code: | 606731263 |
Phone Number: | 9062253630 |
Fax Number: | 9062254537 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 12/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | OS3047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |