Individual
MIN YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 533-2141
Mailing address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 533-2141
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01056722A
IN
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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