Individual
JO ANNE H YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
720 WASHINGTON AVE SE, MINNEAPOLIS, MN 55414-2924
(612) 672-7422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41429
MN
207RI0200X
Infectious Disease Physician
Primary
41429
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051578
—
MT
01
—
1018894
PREFERREDONE
MN
01
—
123338
UCARE
MN
01
—
124974
FAIRVIEW
MN
01
—
15G33VA
BLUE CROSS BLUE SHIELD
MN
01
—
818681
ARAZ
MN
01
—
9200031
MEDICA - CHOICE
MN
01
—
HP28828
HEALTHPARTNERS
MN
Enumeration date
09/26/2006
Last updated
07/21/2022
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