Individual
YONG-YI PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
(651) 254-9673
Mailing address
11475 ROBINSON DR NW, 32600A, COON RAPIDS, MN 55433-3746
(763) 754-4600
(763) 754-4614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45274
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206972500
—
MN
Enumeration date
02/15/2006
Last updated
07/21/2022
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