Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 107748 | MN |
Y | 207V00000X | Obstetrician & Gynecologist | 58308 | MN |
N | 207VX0000X | Obstetrician | 4301090088 | MI |
NPI | 1437355930 |
---|---|
Provider Name | Dr. Yvonne Sonia Butler Tobah |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2007 |
Last Update Date | 12/08/2020 |