Individual
YENG XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MASON ST STE 18, ONALASKA, WI 54650-7061
(608) 304-9023
Mailing address
200 MASON ST STE 18, ONALASKA, WI 54650-7061
(608) 304-9023
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-1295613
—
WI
Enumeration date
04/23/2019
Last updated
04/23/2019
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