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Individual
MARK WILLIAM YEAZEL
Active
Individual
MARK WILLIAM YEAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31743
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-03328
MEDICA - CHOICE
MN
01
—
092585
FAIRVIEW
MN
01
—
100588
UCARE
MN
01
—
1009362
PREFERREDONE
MN
05
—
570002700
—
MN
01
—
58D72YE
BLUE CROSS BLUE SHIELD
MN
01
—
768420
ARAZ
MN
01
—
HP17443
HEALTHPARTNERS
MN
Enumeration date
10/02/2006
Last updated
04/23/2012
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