Michael Owen Young, OD

NPI #1043380819 in Fort Wayne, Indiana

Provider Information

NPI Number
1043380819
Entity Type
Individual
Name
Michael Owen Young, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Nov 9, 2006
Last Updated
Nov 27, 2007

Practice Location

Address
6424 W JEFFERSON BLVD
Address 2
SUITE A
State
Indiana
ZIP Code
46804-6204
Phone
(260) 436-7530

Specialties & Taxonomy Codes

Specialty
Optometrist

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