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Individual

TIMOTHY OUYANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1415 LILAC DR N STE 190, MINNEAPOLIS, MN 55422-4544
(763) 267-8701
Mailing address
1415 LILAC DR N STE 190, MINNEAPOLIS, MN 55422-4544
(763) 267-8701

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15368
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/19/2023
Last updated
05/14/2026
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