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NPI Code Detail

MEDICARE: WILLIAM YOUMANS M.D.

MEDICARE: WILLIAM YOUMANS M.D.
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
1207Q00000XFamily Medicine Physician24146MN

General Provider Information

NPI Number : 1194791905
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM YOUMANS M.D.
Provider Business Mailing Address
First Line : 9800 ROCKFORD RD
Second Line :
City : PLYMOUTH
State : MN
Zip : 55442-2811
Country : US
Telephone Number : 763-559-0092
Fax Number : 763-559-9404
Provider Business Practice Location Address
First Line : 4209 WEBBER PKWY
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55412-1747
Country : US
Telephone Number : 612-522-6601
Fax Number : 763-522-6706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 07/08/2007

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