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Individual
DR. MARK L YESKE
Active
Individual
DR. MARK L YESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00171
OR
213ES0131X
Foot Surgery Podiatrist
DP00171
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162099
—
OR
01
—
480033064
RAILROAD MEDICARE
OR
01
—
48431001
BLUE CROSS OF OREGON
OR
Enumeration date
05/03/2006
Last updated
08/24/2010
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