Individual
MICHAEL T YIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-6262
Mailing address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-6262
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
320003
LA
Other
Enumeration date
05/10/2013
Last updated
07/22/2021
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