Individual
YAN XIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-1000
Mailing address
4245 RELIABLE PARKWAY, CHICAGO, IL 60686-0042
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
BP10047304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300011086
—
IN
Enumeration date
06/17/2013
Last updated
07/03/2025
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