IndividualActive
Fang Yuan, MD
NPI 1174151971 · Vascular Surgery Physician · Davenport, IA
Provider details
- NPI number
- 1174151971
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD54460 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1230 E Rusholme St Ste 303
Davenport, IA 52803-2400
Phone: (563) 421-4320
Fax: (563) 421-4329
Approximate (ZIP-level) locationGet directions
Mailing address
1230 E Rusholme St Ste 303
Davenport, IA 52803-2400
Registry dates
- Enumerated
- 2020-03-29
- Last updated
- 2025-07-09
- Certified
- 2025-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.