Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 4301066501 | MI |
NPI | 1033117833 |
---|---|
Provider Name | Theodore C Yee |
First Address | Battle Creek, MI 49017-3258 |
Second Address | Battle Creek, MI 49017-3258 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 14/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3180557 | (05) | MI |
F48029 | (02) |