Healthcare Provider Details

I. General information

NPI: 1770686230
Provider Name (Legal Business Name): CONSUELO APRECIO YEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CONSUELO GOTTFURCHT

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4666 S 35TH ST
GREENFIELD WI
53221
US

IV. Provider business mailing address

4666 S 35TH ST
GREENFIELD WI
53221
US

V. Phone/Fax

Practice location:
  • Phone: 414-281-0400
  • Fax: 414-281-0402
Mailing address:
  • Phone: 414-281-0400
  • Fax: 414-281-0402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number21996
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: