Individual
BRUCE WILLIAM YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9300 NOBLE PKWY N, BROOKLYN PARK, MN 55443-5500
(763) 236-5300
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 625-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38769
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
733326900
—
MN
Enumeration date
03/16/2006
Last updated
11/10/2020
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