Provider Demographics
NPI:1669780060
Name:YIN, HONG (MD)
Entity type:Individual
Prefix:
First Name:HONG
Middle Name:
Last Name:YIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 N MAYFAIR RD
Mailing Address - Street 2:STE 400
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-1305
Mailing Address - Country:US
Mailing Address - Phone:414-763-6910
Mailing Address - Fax:414-763-6911
Practice Address - Street 1:2600 N MAYFAIR RD STE 305
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-1303
Practice Address - Country:US
Practice Address - Phone:414-350-2449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI61110-202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry