Healthcare Provider Details

I. General information

NPI: 1699195974
Provider Name (Legal Business Name): STEPHEN MICHAEL YING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2014
Last Update Date: 04/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC STREET BOX 357115
SEATTLE WA
98195
US

IV. Provider business mailing address

50 HIGHFIELD PLACE
EAST SAINT PAUL MANITOBA
R2E0G3
CA

V. Phone/Fax

Practice location:
  • Phone: 206-598-5130
  • Fax: 206-598-8475
Mailing address:
  • Phone: 204-996-2294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: