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Individual
DR. WESLEY OWEN YEACKLE
Active
Individual
DR. WESLEY OWEN YEACKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C129122
CA
2083A0100X
Aerospace Medicine Physician
01056653A
IN
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
01056653A
IN
Other
Enumeration date
05/03/2006
Last updated
04/30/2014
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