Provider Demographics
NPI:1659683886
Name:YANKELOVE, JOSHUA EVAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:EVAN
Last Name:YANKELOVE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2006 HOGBACK RD
Mailing Address - Street 2:SUITE 5A
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9750
Mailing Address - Country:US
Mailing Address - Phone:734-786-2317
Mailing Address - Fax:734-786-4977
Practice Address - Street 1:205 N EAST AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-1753
Practice Address - Country:US
Practice Address - Phone:517-841-7836
Practice Address - Fax:517-789-5903
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2020-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301097217207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine