Healthcare Provider Details

I. General information

NPI: 1952350795
Provider Name (Legal Business Name): DENNIS M. YEE D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 10/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8180 26 MILE RD STE. 101
SHELBY TOWNSHIP MI
48316-5129
US

IV. Provider business mailing address

2313 E HILL RD
GRAND BLANC MI
48439-5059
US

V. Phone/Fax

Practice location:
  • Phone: 586-677-3355
  • Fax: 586-677-3352
Mailing address:
  • Phone: 810-496-0900
  • Fax: 810-742-3891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101009015
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: