MEDICARE: RAYMOND YI-SHENG YEOW MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	4301117423	MI
2	390200000X	Student in an Organized Health Care Education/Training Program	4301109352	MI

General Provider Information

NPI Number	:	1275982910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND YI-SHENG YEOW MD

Provider Business Mailing Address
First Line	:	3210 EAGLE RUN DR NE STE 100
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-7051
Country	:	US
Telephone Number	:	616-456-9553
Fax Number	:	616-454-5371

Provider Business Practice Location Address
First Line	:	3210 EAGLE RUN DR NE STE 100
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-7051
Country	:	US
Telephone Number	:	616-456-9553
Fax Number	:	616-454-5371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2016
Last Update Date	:	02/18/2026

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