Individual
MELANIE K YOUNGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4800 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110-3345
(651) 426-3800
Mailing address
2399 ARIEL ST N, SUITE B, MAPLEWOOD, MN 55109-2203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6355
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7152222100
—
MN
Enumeration date
10/11/2006
Last updated
07/08/2007
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