DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1780616896

NPI Code Detail

MEDICARE: YU CHIN FANG MD

MEDICARE: YU CHIN FANG 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	207Q00000X	Family Medicine Physician	41542-020	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	007645003	OTHER	WI	MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1780616896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YU CHIN FANG MD

Provider Business Mailing Address
First Line	:	PO BOX 19070
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54307-9070
Country	:	US
Telephone Number	:	920-496-4700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 E GREEN BAY ST
Second Line	:
City	:	SHAWANO
State	:	WI
Zip	:	54166-2210
Country	:	US
Telephone Number	:	920-496-4700
Fax Number	:

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	01/17/2023

Similar Medicare Providers

1568467850 — VICKIEMARIE CLOUTIER MD
Practice Location Address:

1300 E GREEN BAY ST
SHAWANO, WI
54166-2210

Practice Phone: 715-201-0870
Practice Fax:

1184651127 — TOD C LEWIS MD
Practice Location Address:

1346 E GREEN BAY ST
SHAWANO, WI
54166-2210

Practice Phone: 715-526-6244
Practice Fax:

1013944891 — DR. RICHARD DENNIS SARNWICK DO
Practice Location Address:

1346 E GREEN BAY ST
SHAWANO, WI
54166-2210

Practice Phone: 715-526-8800
Practice Fax:

1487843181 — AURORA MEDICAL GROUP, INC.
Practice Location Address:

1346 E GREEN BAY ST
SHAWANO, WI
54166-2210

Practice Phone: 715-526-6244
Practice Fax:

1386817021 — JILL M WITTE NP
Practice Location Address:

1346 E GREEN BAY ST
SHAWANO, WI
54166-2210

Practice Phone: 715-526-6244
Practice Fax:

1801027438 — ELIZABETH M LENZNER PT, DPT
Practice Location Address:

1346 E GREEN BAY ST
SHAWANO, WI
54166-2210

Practice Phone: 715-526-6244
Practice Fax:

Directions to “ YU CHIN FANG MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.