Provider Demographics
NPI:1346450558
Name:YAISH, AYMAN D (DO)
Entity Type:Individual
Prefix:DR
First Name:AYMAN
Middle Name:D
Last Name:YAISH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:120 PARK AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BEAVER DAM
Mailing Address - State:WI
Mailing Address - Zip Code:53916-2132
Mailing Address - Country:US
Mailing Address - Phone:920-885-5225
Mailing Address - Fax:920-356-6419
Practice Address - Street 1:120 PARK AVE STE 1
Practice Address - Street 2:
Practice Address - City:BEAVER DAM
Practice Address - State:WI
Practice Address - Zip Code:53916-2132
Practice Address - Country:US
Practice Address - Phone:920-885-5225
Practice Address - Fax:920-356-6419
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101015734207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery