Organization
MARK K YAMAGUCHI PC
Active
Other names
Pain Consultants of Minnesota
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KENJI YAMAGUCHI MD (PRESIDENT / OWNER)
(612) 455-0612
Entity
Organization
Contact information
Practice address
2020 E 28TH ST, SUITE 100, MINNEAPOLIS, MN 55407-1394
(612) 455-0612
(612) 455-0610
Mailing address
2854 HIGHWAY 55, SUITE 130, EAGAN, MN 55121-2156
(612) 455-0612
(612) 455-0610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/19/2014
Last updated
09/12/2014
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