Shang-yee S Yeh, MD | |
1027 Washington Ave, Detroit Lakes, MN 56501-3409 | |
(218) 844-2347 | |
Not Available |
Full Name | Shang-yee S Yeh |
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Gender | Female |
Speciality | Surgery |
Location | 1027 Washington Ave, Detroit Lakes, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619752060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 72970 (Minnesota) | Primary |
Entity Name | St Marys Regional Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
Entity Name | First Care Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073638565 PECOS PAC ID: 3678542842 Enrollment ID: O20040927000035 |
Mailing Address | Practice Location Address |
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Shang-yee S Yeh, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: () - | Shang-yee S Yeh, MD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 844-2347 |
George A Portilla, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Mitchell B Goldstein, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114 | |
Randall J. Bolar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 |