Provider Demographics
NPI:1568432615
Name:YANG, WEI
Entity Type:Individual
Prefix:
First Name:WEI
Middle Name:
Last Name:YANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 957076
Mailing Address - Street 2:
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63195-7076
Mailing Address - Country:US
Mailing Address - Phone:347-817-7842
Mailing Address - Fax:866-379-7504
Practice Address - Street 1:NORTHEAST IOWA PATHOLOGY ASSOCIATES, PC
Practice Address - Street 2:1825 LOGAN AVENUE
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50703
Practice Address - Country:US
Practice Address - Phone:319-235-3679
Practice Address - Fax:319-233-0722
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA35459207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology