Individual
JOEL YEASTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30000 E RIVER RD, PERRYSBURG, OH 43551-3429
(419) 661-4001
(419) 661-4015
Mailing address
21850 LEMOYNE RD, LUCKEY, OH 43443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35069408
OH
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
35069408
OH
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
35069408
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000322654
ANTHEM
OH
05
—
2040197
—
OH
Enumeration date
08/22/2005
Last updated
05/20/2022
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