Individual
TSWVYIM YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 830-6877
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 454-4232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5085
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2020
Last updated
10/23/2020
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