Individual
DR. MARK LOYAL YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2828 CHICAGO AVENUE, SUITE 200, MINNEAPOLIS, MN 55407
(612) 879-1000
(612) 879-9116
Mailing address
2828 CHICAGO AVENUE, SUITE 200, MINNEAPOLIS, MN 55407
(612) 879-1000
(612) 879-9116
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36767
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065391
—
IA
01
—
40407
BLUE CROSS/BLUE SHIELD
IA
Enumeration date
07/08/2005
Last updated
05/17/2016
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