Organization
WILLIAM YVORCHUK MDCM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET GILBERTSON (PRACTICE MANAGER)
(701) 499-4807
Entity
Organization
Contact information
Practice address
3270 20TH ST S, FARGO, ND 58104-5917
(701) 293-7408
(701) 235-2099
Mailing address
3270 20TH ST S, FARGO, ND 58104-5917
(701) 293-7408
(701) 235-2099
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06635001
ND BLUE SHIELD
ND
05
—
13595
—
ND
01
—
37CG2YV
MN BLUE SHIELD
MN
Enumeration date
01/03/2007
Last updated
08/30/2010
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