Provider Demographics
NPI:1851701098
Name:YUREK, DAVID RONALD (BA, LADC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:RONALD
Last Name:YUREK
Suffix:
Gender:M
Credentials:BA, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 163
Mailing Address - Street 2:471 2ND STREET NORTH
Mailing Address - City:WINSTED
Mailing Address - State:MN
Mailing Address - Zip Code:55395
Mailing Address - Country:US
Mailing Address - Phone:320-485-2323
Mailing Address - Fax:
Practice Address - Street 1:471 2ND STREET NORTH
Practice Address - Street 2:
Practice Address - City:WINSTED
Practice Address - State:MN
Practice Address - Zip Code:55395
Practice Address - Country:US
Practice Address - Phone:320-485-2323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-28
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health