Individual
STACY YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
909 FULTON ST SE FL 4K, MINNEAPOLIS, MN 55455-4800
(612) 624-9709
Mailing address
909 FULTON ST SE FL 4K, MINNEAPOLIS, MN 55455-4800
(612) 624-9709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14294
MN
363A00000X
Physician Assistant
PA10891
TX
Other
Enumeration date
11/16/2016
Last updated
07/22/2023
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