Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 64471 | MN |
NPI | 1023384120 |
---|---|
Provider Name | Dr. Yonatan J Hillman |
First Address | Duluth, MN 55805-2200 |
Second Address | Duluth, MN 55805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2012 |
Last Update Date | 04/12/2020 |