John Burton Young JR. M.D.

NPI 1629208558 - Otolaryngology - 207Y00000X

NPI Details
NPI 1629208558
Gender Male
Enumeration Date 07/27/2009
Last Updated 07/27/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
2787 ITASCA AVE.
ST. MARY'S PT. MN, 55043-0325, US
Phone (651) 436-8278
Fax
Business Location
P.O. BOX 325
LAKELAND MN, 55043-0325, US
Phone (651) 436-8278
Fax
Toxanomy
Taxonomy Code 207Y00000X
License State Wisconsin
License Number 18523-020
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According to our database, Dr. John Burton Young JR. M.D. NPI is 1629208558, taxonomy code is 207Y00000X and license number is 18523-020, license state is located at Wisconsin. John Burton Young JR. M.D. physically located at 2787 Itasca Ave., St. Mary's Pt. MN, 55043-0325. NPI Number John Burton Young JR. M.D. has the Individual type.

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1629208558 NPI number is provided on an as is basis without warranty of any kind. 1629208558 is maintained by the National Plan & Provider Enumeration System. The contents of John Burton Young JR. M.D. are for informational purposes only.