Individual
RUSSELL STEVEN YALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10520 N. PORT WASHINGTON RD., MEQUON, WI 53092
(262) 240-0705
(262) 240-0759
Mailing address
100-15TH AVE., #180, SOUTH MILWAUKEE, WI 53172-1160
(414) 744-6589
(414) 764-4307
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
22241-20
WI
Other
Enumeration date
08/31/2005
Last updated
04/19/2013
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