Provider Demographics
NPI:1407837446
Name:YEHL, DAVID A (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:YEHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 CENTRAL PARK VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-7707
Mailing Address - Country:US
Mailing Address - Phone:651-406-8880
Mailing Address - Fax:
Practice Address - Street 1:3305 CENTRAL PARK VILLAGE DR STE 200
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55121-7707
Practice Address - Country:US
Practice Address - Phone:651-406-8880
Practice Address - Fax:651-688-7864
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301079693207R00000X
MN50189207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI110B510530OtherBLUE CARE NETWORK
MI7324379OtherAETNA
MI1102310112OtherBLUE CROSS BLUE SHIELD
MI110B510530OtherBLUE CHOICE
MI110B510530OtherCOMMUNITY BLUE PPO
MI4763704Medicaid
MIH52886OtherHEALTH NET FED SERVICES
MI1014849OtherMCLAREN HEALTH PLAN
MI1014849OtherHEALTH ADVANTAGE NETWORK
MI4688628Medicaid
MI0400947OtherPHYSICIANS HEALTH PLAN
MI0400947OtherPHYSICIANS HEALTH PLAN
MI4763704Medicaid