Individual
SCOTT MERRILL YAROSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 UNIVERSITY AVENUE WEST, SUITE 205, ST. PAUL, MN 55104
(651) 955-6255
(651) 493-4178
Mailing address
1600 UNIVERISTY AVENUE WEST, SUITE 205, ST. PAUL, MN 55104
(651) 955-6255
(651) 493-4178
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32260
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1510003
MEDICA
MN
01
—
36A90YA
BCBS OF MN
MN
05
—
934795000
—
MN
Enumeration date
01/06/2006
Last updated
12/08/2010
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