Individual
MICHAEL AUGUST YERADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 N COLUMBIA RD STOP 9037, GRAND FORKS, ND 58202-9037
(701) 777-2514
Mailing address
1301 N COLUMBIA RD STOP 9037, GRAND FORKS, ND 58202-9037
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
RL21252
ND
Other
Enumeration date
03/16/2022
Last updated
08/28/2024
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