Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 25MA10755700 | NJ |
Y | 207V00000X | Obstetrician & Gynecologist | MD425256 | PA |
N | 207VG0400X | Gynecologist | MD425256 | PA |
N | 207VX0000X | Obstetrician | MD425256 | PA |
NPI | 1396795829 |
---|---|
Provider Name | Dr. Michael J Yeager |
First Address | Breinigsville, PA 18031-1277 |
Second Address | Breinigsville, PA 18031-1277 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 30/06/2021 |