Individual
DR. YAN GUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(919) 637-4712
Mailing address
2101 SPENCER ST, MARSHFIELD, WI 54449-8888
(919) 637-4712
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
54774-020
WI
390200000X
Student in an Organized Health Care Education/Training Program
20007
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20007
FELLOWSHIP, OPHTHALMOLOGY
MN
Enumeration date
08/17/2007
Last updated
06/16/2018
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