Individual
TREVOR YARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
619 5TH ST NW, BEMIDJI, MN 56601-2914
(218) 751-4144
(218) 751-3545
Mailing address
619 5TH ST NW, BEMIDJI, MN 56601-2914
(218) 751-4144
(218) 751-3545
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9072
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488963100
—
MN
Enumeration date
01/26/2006
Last updated
04/04/2022
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