Individual
DR. CHRISTIAN YEASTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5533 MAHONING AVE, STE D, AUSTINTOWN, OH 44515-2366
(330) 793-2701
(330) 793-8688
Mailing address
5533 MAHONING AVE, STE D, AUSTINTOWN, OH 44515-2366
(330) 793-2701
(330) 793-8688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.126681
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137845
—
OH
01
—
H379990
MEDICARE PTAN
OH
Enumeration date
07/15/2011
Last updated
02/13/2017
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