Individual
SHIRLEY MAE YEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS
Contact information
Practice address
500 HARVARD ST SE, UNIT J2-300, MINNEAPOLIS, MN 55455-0363
(612) 273-6004
Mailing address
420 DELAWARE ST SE MMC 292, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 273-6004
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
262842
MN
Other
Enumeration date
10/04/2006
Last updated
10/21/2008
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