Individual
MR. JONATHAN EDWARD YANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
844 RITCHIE HWY, STE 202, SEVERNA PARK, MD 21146-4137
(410) 353-7069
(866) 294-9581
Mailing address
348 THOMPSON CREEK MALL, BOX 359, STEVENSVILLE, MD 21666-2500
(410) 353-7069
(866) 294-9581
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/06/2006
Last updated
11/21/2016
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