Individual
YU GUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 JACKSON ST, ST PAUL, MN 55101
(952) 883-5792
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-8579
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14629
TX
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/12/2017
Last updated
07/02/2021
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