Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 10683A | WY |
N | 207X00000X | Orthopaedic Surgeon | 163025 | OR |
N | 207XS0117X | Orthopaedic Spine Surgeon | 63864 | MN |
NPI | 1245678085 |
---|---|
Provider Name | Dr. Stefan Noel Yakel |
First Address | Casper, WY 82609-3265 |
Second Address | Casper, WY 82609-3265 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2013 |
Last Update Date | 09/08/2019 |