MEDICARE: WEI YANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	35459	IA

General Provider Information

NPI Number	:	1568432615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEI YANG

Provider Business Mailing Address
First Line	:	P.O. BOX 957076
Second Line	:
City	:	ST. LOUIS
State	:	MO
Zip	:	63195-7076
Country	:	US
Telephone Number	:	347-817-7842
Fax Number	:	866-379-7504

Provider Business Practice Location Address
First Line	:	NORTHEAST IOWA PATHOLOGY ASSOCIATES, PC
Second Line	:	1825 LOGAN AVENUE
City	:	WATERLOO
State	:	IA
Zip	:	50703
Country	:	US
Telephone Number	:	319-235-3679
Fax Number	:	319-233-0722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	11/27/2018

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Directions to “ WEI YANG ” Practice Location

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