Healthcare Provider Details

I. General information

NPI: 1700013471
Provider Name (Legal Business Name): GARRETT MICHAEL YEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2009
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 N 15TH ST MS 1011
PHILADELPHIA PA
19102-1101
US

IV. Provider business mailing address

213 N 9TH ST APT. 3/F
PHILADELPHIA PA
19107-1832
US

V. Phone/Fax

Practice location:
  • Phone: 215-762-7000
  • Fax:
Mailing address:
  • Phone: 925-890-1194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMT195510
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: