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Individual

DR. WEN TJOEN YAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
720 S VAN BUREN ST, SUITE 301, GREEN BAY, WI 54301-3538
(920) 433-9400
(940) 433-9409
Mailing address
720 S VAN BUREN ST, SUITE 301, GREEN BAY, WI 54301-3538
(920) 433-9400
(940) 433-9409

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46447
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3402210621
BLUE CROSS MI
MI
05
34478000
WI
05
4744066
MI
Enumeration date
08/12/2005
Last updated
01/18/2016
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