Healthcare Provider Details

I. General information

NPI: 1275707572
Provider Name (Legal Business Name): JOSHUA YORGASON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8301 GOLDEN VALLEY RD STE 200
GOLDEN VALLEY MN
55427-4475
US

IV. Provider business mailing address

8301 GOLDEN VALLEY RD STE 200
GOLDEN VALLEY MN
55427-4475
US

V. Phone/Fax

Practice location:
  • Phone: 763-233-5755
  • Fax: 763-233-5782
Mailing address:
  • Phone: 763-233-5755
  • Fax: 763-233-5782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number56460
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number60589
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number56460
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: