Search › Wisconsin › 207Y00000X
Russell Yale, M.D
NPI 1275526667 · on the registry since 2005
Practice
- Address
- 10520 N. Port Washington Rd.
Mequon, WI 53092 - Phone
- (262) 240-0705
- Fax
- (262) 240-0759
- Organisation at this address
- Lakeshore Medical Clinic
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207Y00000X
207Y00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin