IndividualActive
Jarrod Yamanaka, MD
NPI 1700206273 · Sports Medicine (Family Medicine) Physician · Blaine, MN
Provider details
- NPI number
- 1700206273
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 60010 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10961 Club West Pkwy Ne
Ste 200
Blaine, MN 55449-5866
Phone: (763) 528-2922
Approximate (ZIP-level) locationGet directions
Mailing address
10961 Club West Pkwy
Blaine, MN 55449-5866
Registry dates
- Enumerated
- 2014-04-23
- Last updated
- 2018-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.