Individual
YONG LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
(920) 720-3806
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3298
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
48255-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34665700
—
WI
Enumeration date
12/13/2006
Last updated
01/26/2012
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