Myron William Yencha MD

NPI 1184610446 - Otolaryngology - 207Y00000X

NPI Details
NPI 1184610446
Gender Male
Enumeration Date 09/22/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
3001 6TH ST
DEPT OTOLARYNGOLOGY, NAVAL HOSPITAL
GREAT LAKES IL, 60088-2833, US
Phone (847) 688-4533
Fax (847) 688-7326
Business Location
10202 82ND ST
PLEASANT PRAIRIE WI, 53158-2024, US
Phone (262) 694-3448
Fax (847) 688-7326
Toxanomy
Taxonomy Code 207Y00000X
License State Virginia
License Number 0101046907
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According to our database, Dr. Myron William Yencha MD NPI is 1184610446, taxonomy code is 207Y00000X and license number is 0101046907, license state is located at Virginia. Myron William Yencha MD physically located at 3001 6th St, Great Lakes IL, 60088-2833. NPI Number Myron William Yencha MD has the Individual type.

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1184610446 NPI number is provided on an as is basis without warranty of any kind. 1184610446 is maintained by the National Plan & Provider Enumeration System. The contents of Myron William Yencha MD are for informational purposes only.