Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 59046 | MN |
Y | 208000000X | Pediatrician | R-9417 | IA |
NPI | 1194089896 |
---|---|
Provider Name | Meghan Young |
First Address | Minneapolis, MN 55455-0341 |
Second Address | Minneapolis, MN 55455-0341 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2012 |
Last Update Date | 05/06/2015 |