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Individual

WALTER J YEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7210 W MAIN ST, BELLEVILLE, IL 62223-3038
(618) 394-0712
(618) 394-1346
Mailing address
7210 W MAIN ST, BELLEVILLE, IL 62223-3038
(618) 394-0712
(618) 394-1346

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-135855
IL
207V00000X
Obstetrics & Gynecology Physician
5101019561
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376751529
MI
01
700G36110
BC PPO TRUST
MI
01
700G361110
BLUE CROSS BLUE SHIELD TRADITIONAL
MI
01
71364
HEALTH PLAN OF MICHIGAN
MI
Enumeration date
05/20/2007
Last updated
09/02/2014
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