Individual
YAN TESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Mailing address
2101 ELM ST N, FARGO, ND 58102-2417
(701) 239-3700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAC0473
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71125
—
ND
Enumeration date
01/04/2012
Last updated
03/17/2025
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