Individual
PETER MICHAEL YAWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1420 109TH AVE NE, BLAINE, MN 55449-3602
(763) 581-5550
Mailing address
1420 109TH AVE NE, SUITE 100, BLAINE, MN 55449-3602
(763) 581-5550
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48807
MN
Other
Enumeration date
08/08/2006
Last updated
01/12/2016
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