Individual
MRS. CALLEN MARIE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(612) 813-6000
Mailing address
2925 CHICAGO AVENUE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
14090
MN
2085R0204X
Vascular & Interventional Radiology Physician
14090
MN
363A00000X
Physician Assistant
Primary
14090
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/01/2020
Last updated
08/07/2023
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