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Individual

DR. DOUGLAS HAROLD YOCK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-5195
(612) 863-2597
Mailing address
4700 LAKEVIEW DR, EDINA, MN 55424-1520
(952) 920-4777

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
23688
MN
2085N0700X
Neuroradiology Physician
G27488
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0009300
PREFERRED ONE
MN
01
100722
UCARE
MN
05
1904268
IA
01
23026
AMERICA'S PPO
MN
01
27315YO
BLUE CROSS AND BLUE SHIELD OF MN
MN
01
300038140
RAILROAD MEDICARE WI
WI
01
300065114
RAILROAD MEDICARE MN
MN
05
31636200
WI
05
496863800
MN
01
HP14734
HEALTHPARTNERS
MN
Enumeration date
07/09/2006
Last updated
05/16/2008
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