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NPI Code Detail

MEDICARE: ANDREW W YETTER MD

MEDICARE:   ANDREW W YETTER  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
1207RH0003XHematology & Oncology Physician37746WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578586368
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW W YETTER MD
Provider Business Mailing Address
First Line : PO BOX 735044
Second Line :
City : CHICAGO
State : IL
Zip : 60673-5044
Country : US
Telephone Number : 920-793-6100
Fax Number :
Provider Business Practice Location Address
First Line : 5300 MEMORIAL DR
Second Line :
City : TWO RIVERS
State : WI
Zip : 54241-3923
Country : US
Telephone Number : 920-793-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 11/09/2023

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Directions to “ ANDREW W YETTER MD” Practice Location

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