Individual
DR. JOHN BURTON YOUNG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2787 ITASCA AVE., ST. MARY'S PT., MN 55043-0325
(651) 436-8278
Mailing address
P.O. BOX 325, LAKELAND, MN 55043-0325
(651) 436-8278
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
18523-020
WI
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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