Individual
INNA YALOVETSKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
195 DISCOVERY DR, BROOKFIELD, WI 53045-2862
(262) 928-7100
Mailing address
195 DISCOVERY DR, BROOKFIELD, WI 53045-2862
(262) 928-7100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68211
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2014
Last updated
11/05/2018
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