Provider Demographics
NPI:1013039619
Name:MILTON G. YODER, M.D., P.A.
Entity Type:Organization
Organization Name:MILTON G. YODER, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MILTON
Authorized Official - Middle Name:G
Authorized Official - Last Name:YODER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-828-6112
Mailing Address - Street 1:1206 YORK RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6217
Mailing Address - Country:US
Mailing Address - Phone:410-828-6112
Mailing Address - Fax:
Practice Address - Street 1:1206 YORK RD
Practice Address - Street 2:SUITE 201
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6217
Practice Address - Country:US
Practice Address - Phone:410-828-6112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD30633174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty