Individual
NALY YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1635 S 21ST ST, MANITOWOC, WI 54220-6380
(920) 320-6635
Mailing address
500 KIRTS BLVD STE 100, TROY, MI 48084-4135
(248) 434-6169
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3305-23
WI
Other
Enumeration date
08/08/2014
Last updated
05/26/2022
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