Individual
DR. BENJAMIN CORNELL YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
01068194A
IN
207ZP0101X
Anatomic Pathology Physician
Primary
MD61062009
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036122845
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
55604
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093036162
—
WI
Enumeration date
06/11/2010
Last updated
07/08/2020
Update your record
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