Individual
ALEXANDER E YAKOVLEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 E GRANT ST, SUITE 335, APPLETON, WI 54911-3490
(920) 733-7230
Mailing address
100 THEDA CLARK MEDICAL PLZ, SUITE 252, NEENAH, WI 54956-2763
(920) 733-7230
(920) 729-0347
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
36140-20
WI
208VP0014X
Interventional Pain Medicine Physician
Primary
36140-20
WI
Other
Enumeration date
09/23/2006
Last updated
10/23/2012
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