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NPI Code Detail

MEDICARE: ANNA IGOREVNA YURCHENKO MD

MEDICARE:   ANNA IGOREVNA YURCHENKO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician103287MN
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1326189879
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA IGOREVNA YURCHENKO MD
Provider Business Mailing Address
First Line : 10201 WAYZATA BLVD STE 100
Second Line :
City : MINNETONKA
State : MN
Zip : 55305-1500
Country : US
Telephone Number : 952-544-6806
Fax Number : 952-545-0098
Provider Business Practice Location Address
First Line : 10201 WAYZATA BLVD STE 100
Second Line :
City : MINNETONKA
State : MN
Zip : 55305-1500
Country : US
Telephone Number : 952-544-6806
Fax Number : 952-545-0098
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 04/14/2026

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Directions to “ ANNA IGOREVNA YURCHENKO MD” Practice Location

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