Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 1153 | WI |
Y | 208600000X | Surgeon | 1153 | WI |
N | 208200000X | Surgeon | 68601 | MN |
N | 208600000X | Surgeon | 68601 | MN |
N | 208200000X | Surgeon | ME118022 | FL |
N | 208600000X | Surgeon | ME118022 | FL |
N | 2086X0206X | Surgical Oncologist | 57791 | TN |
NPI | 1386882538 |
---|---|
Provider Name | Danny Yakoub |
First Address | Rochester, MN 55905-0002 |
Second Address | Eau Claire, WI 54703-5222 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2009 |
Last Update Date | 07/07/2021 |