Individual
DR. VERN JOHN PROCHASKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 PLEASANT AVE S, PARK RAPIDS, MN 56470-1431
(218) 616-3700
(218) 616-3737
Mailing address
4302 13TH AVE S, SUITE 4-366, FARGO, ND 58103-3395
(701) 730-2278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
7534
NV
207X00000X
Orthopaedic Surgery Physician
Primary
10936
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002019809
—
NV
Enumeration date
01/11/2007
Last updated
03/01/2019
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