| Doctor Name: | YONGXUE DAVID YAO |
| NPI Number: | 1952629701 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 11015312A |
| Business Practice Address: | 3111 Gundersen Dr Onalaska, WI - 546508447 |
| Business Phone Number: | 6087758630 |
| Business Fax Number: | |
| Mailing Address: | 1836 South Ave, LA CROSSE |
| State: | WI |
| Postal Code: | 546015429 |
| Phone Number: | 6087827300 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2010 |
| NPI Last Update Date: | 06/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 11015312A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |