Individual
DR. DOUGLAS S. YEATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
842 N WESTHILL BLVD, APPLETON, WI 54914-5788
(920) 738-7246
Mailing address
4555 W SCHROEDER DR, #170, MILWAUKEE, WI 53223-1475
(414) 365-3210
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
46834-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34538100
—
WI
Enumeration date
11/26/2005
Last updated
08/27/2010
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