Individual
MICHAEL R. YAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2977
Mailing address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-2977
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
26200-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184660805
—
WI
Enumeration date
06/21/2006
Last updated
12/23/2020
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