Individual
JASON G YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17705 HUTCHINS DR STE 100, MINNETONKA, MN 55345-4145
(952) 401-8299
(952) 401-8373
Mailing address
17705 HUTCHINS DR STE 100, MINNETONKA, MN 55345-4145
(952) 401-8299
(952) 401-8373
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56026
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2011
Last updated
06/02/2014
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