Healthcare Provider Details

I. General information

NPI: 1265699276
Provider Name (Legal Business Name): RONALD TERRENCE YEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 12/29/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 CURVE CREST BLVD W STILLWATER MEDICAL GROUP
STILLWATER MN
55082-6040
US

IV. Provider business mailing address

1500 CURVE CREST BLVD W
STILLWATER MN
55082-6040
US

V. Phone/Fax

Practice location:
  • Phone: 651-439-1234
  • Fax: 651-275-3325
Mailing address:
  • Phone: 651-439-1234
  • Fax: 651-275-3325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number52409
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: