Individual
SUE YOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 625-8400
(612) 677-3211
Mailing address
410 CHURCH ST SE, MINNEAPOLIS, MN 55455-0222
(612) 625-8400
(612) 677-3211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36666
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037817800
—
MN
Enumeration date
06/12/2006
Last updated
12/13/2024
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