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Individual

ANTHONY C YURICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
3833 COON RAPIDS BLVD NW, SUITE 100, COON RAPIDS, MN 55433-2697
(763) 427-8320
(763) 712-5429
Mailing address
3833 COON RAPIDS BLVD NW, SUITE 100, COON RAPIDS, MN 55433-2697
(763) 427-8320
(763) 712-5429

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1511
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
55D53YU
BCBS OF MN
MN
01
6411546
MEDICA
MN
01
790516
AMERICA'S PPO
MN
01
962871010735
PREFERRED ONE
MN
01
HP44365
HEALTHPARTNERS
MN
Enumeration date
07/26/2006
Last updated
12/09/2011
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