Individual
CASEY YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
303 E NICOLLET BLVD STE 300, BURNSVILLE, MN 55337-4594
(612) 937-5762
Mailing address
303 E NICOLLET BLVD STE 300, BURNSVILLE, MN 55337-4594
(612) 937-5762
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301503191
MI
208600000X
Surgery Physician
Primary
66582
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528455326
—
MI
Enumeration date
04/20/2015
Last updated
11/17/2022
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