Basic Information
Provider Information
NPI: 1730116468
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YEE
FirstName: ALBERT
MiddleName: S
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 945 N 12TH ST
Address2: EMERGENCY MEDICINE
City: MILWAUKEE
State: WI
PostalCode: 532331305
CountryCode: US
TelephoneNumber: 4142197880
FaxNumber:  
Practice Location
Address1: 945 N 12TH ST
Address2: EMERGENCY MEDICINE
City: MILWAUKEE
State: WI
PostalCode: 532331305
CountryCode: US
TelephoneNumber: 4142197880
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/27/2006
LastUpdateDate: 03/22/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X24641-020WIY Allopathic & Osteopathic PhysiciansEmergency Medicine 

ID Information
IDTypeStateIssuerDescription
3047170005WI MEDICAID


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