Individual
RUSSELL E YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
601 JACOB LN, ANOKA, MN 55303
(763) 587-4400
(763) 587-4205
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-5790
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8927
MN
363A00000X
Physician Assistant
—
MN
Other
Enumeration date
02/17/2006
Last updated
07/15/2019
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