Provider Demographics
NPI:1265478937
Name:YARGER, DANNY E (MD)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:E
Last Name:YARGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202W ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:IRON RIVER
Mailing Address - State:MI
Mailing Address - Zip Code:49935-1433
Mailing Address - Country:US
Mailing Address - Phone:906-265-9000
Mailing Address - Fax:906-265-9009
Practice Address - Street 1:202W ADAMS ST
Practice Address - Street 2:
Practice Address - City:IRON RIVER
Practice Address - State:MI
Practice Address - Zip Code:49935-1433
Practice Address - Country:US
Practice Address - Phone:906-265-9000
Practice Address - Fax:906-265-9009
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301082011207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
34639400OtherEDS
MI4886689Medicaid
700C610000OtherBCBS
P00381585OtherRR CARE
I38363Medicare UPIN
M31750024Medicare PIN