Individual
JOHN J YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6425 W MEQUON ROAD, MEQUON, WI 53092
(262) 242-0051
(262) 242-8927
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37090
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32209800
—
WI
01
—
P00609992
RR MEDICARE
WI
Enumeration date
07/07/2006
Last updated
04/15/2024
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