Individual
PAUL E YOUNGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3960 COON RAPIDSBLVD, COON RAPIDS, MN 55433
(763) 236-9400
(763) 236-9423
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-4813
(612) 262-4194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22463
MN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1841258928
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
614888300
—
MN
Enumeration date
05/01/2006
Last updated
08/19/2008
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