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NPI Code Detail

MEDICARE: MISS SUSAN ANN YANKOVICH M.D.

MEDICARE:  MISS SUSAN ANN YANKOVICH  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
1207R00000XInternal Medicine Physician56318MN

General Provider Information

NPI Number : 1942301718
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SUSAN ANN YANKOVICH M.D.
Provider Business Mailing Address
First Line : 1001 E SUPERIOR ST
Second Line : STE. L401
City : DULUTH
State : MN
Zip : 55802-2207
Country : US
Telephone Number : 218-249-7960
Fax Number : 218-249-7997
Provider Business Practice Location Address
First Line : 1001 E SUPERIOR ST
Second Line : STE. L401
City : DULUTH
State : MN
Zip : 55802-2207
Country : US
Telephone Number : 218-249-7960
Fax Number : 218-249-7997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 01/19/2026

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Directions to “ MISS SUSAN ANN YANKOVICH M.D.” Practice Location

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