Individual
DR. JOHN HAROLD YAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7490 E FISH LAKE RD, MAPLE GROVE, MN 55311-2736
(763) 420-4235
(763) 420-5488
Mailing address
7490 E FISH LAKE RD, MAPLE GROVE, MN 55311-2736
(763) 420-4235
(763) 420-5488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D8926
MN
1223G0001X
General Practice Dentistry
Primary
8926
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
665818100
WELFARE NUMBER
MN
Enumeration date
07/10/2006
Last updated
01/20/2016
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