NPI 1124067939

Jonathan Edward Yanke, CPO

Practitioner Prosthetist Severna Park, MD

Practice location

Address: 844 Ritchie Hwy STE 202, Severna Park, MD 21146-4137
Phone: (410) 353-7069
Fax: (866) 294-9581
Mailing address: 348 Thompson Creek Mall Box 359, Stevensville, MD 21666-2500

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1124067939
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2006
Record last updated: 21 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.