Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 64035 | MN |
NPI | 1144479627 |
---|---|
Provider Name | Dr. Albert Yeo |
First Address | Minneapolis, MN 55413-2614 |
Second Address | Burnsville, MN 55337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2008 |
Last Update Date | 06/05/2019 |