Individual
DR. JARROD NOBUYOSHI YAMANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10961 CLUB WEST PKWY NE, STE 200, BLAINE, MN 55449-5866
(763) 528-2922
Mailing address
10961 CLUB WEST PKWY, BLAINE, MN 55449-5866
(763) 528-2992
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
60010
MN
Other
Enumeration date
04/23/2014
Last updated
10/11/2018
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