Individual
JAMES TIMOTHY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3580 ARCADE ST, VADNAIS HEIGHTS, MN 55127-7135
(651) 968-5770
(651) 968-5775
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20917
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002893200
—
MN
01
—
200023918
RAILROAD MEDICARE
MN
Enumeration date
03/14/2006
Last updated
07/02/2015
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