Provider Demographics
NPI:1952350795
Name:YEE, DENNIS M (DO)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:M
Last Name:YEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2313 E HILL RD
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-5059
Mailing Address - Country:US
Mailing Address - Phone:810-496-0900
Mailing Address - Fax:810-742-3891
Practice Address - Street 1:8180 26 MILE RD
Practice Address - Street 2:STE. 101
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-5129
Practice Address - Country:US
Practice Address - Phone:586-677-3355
Practice Address - Fax:586-677-3352
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101009015207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4404144Medicaid
MI4404162Medicaid
MI080D410020OtherBCBS BCN COMM BLUE
MI1022807OtherMHP HAN
MI1022853OtherMHP HAN GROUP
MI4404153Medicaid
MI4961881Medicaid
MIF27914Medicare UPIN
MI4404153Medicaid
MI4404144Medicaid