Individual
MR. ANTHONY J YERKES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 PLEASANT AVE S, PARK RAPIDS, MN 56470-1431
(218) 732-9464
(218) 732-0249
Mailing address
PO BOX 432, PARK RAPIDS, MN 56470-0432
(218) 732-9464
(218) 732-0249
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0652131
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62025YE
BLUE CROSS PROVIDER #
MN
Enumeration date
06/22/2005
Last updated
07/08/2007
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