Individual
CHARLES MICHAEL YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33668
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0829240
MEDICA CHOICE
MN
01
—
180018037
RAILROAD MEDICARE
MN
05
—
285002800
—
MN
01
—
4T688YA
BCBS OF MN
MN
Enumeration date
06/27/2005
Last updated
04/23/2013
Update your record
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