Individual
BAILEY YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1024 N MAIN ST, RICE LAKE, WI 54868-1236
(715) 552-9784
Mailing address
719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4364-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4364-23
WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
06/08/2018
Last updated
03/29/2024
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