| NPI | 1104261403 |
|---|---|
| Doing Business As | DANIEL R YANICKO JR MD |
| Entity Type | Organization |
| Authorized Contact | SARA MILLER Director 615-920-7514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2017-09-27 |