Individual
DR. GREGORY J YANISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12499 UNIVERSITY AVE, STE. 210, CLIVE, IA 50325-8288
(515) 440-2676
(515) 440-2677
Mailing address
12499 UNIVERSITY AVE, STE. 210, CLIVE, IA 50325-8288
(515) 440-2676
(515) 440-2677
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5315021056
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4982685
—
MI
Enumeration date
01/23/2007
Last updated
01/23/2013
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