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NPI Code Detail

MEDICARE: BAILEY YOUNG PA-C

MEDICARE: BAILEY YOUNG PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1881227874
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY YOUNG PA-C
Provider Business Mailing Address
First Line : 720 WASHINGTON AVE SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-2924
Country : US
Telephone Number : 612-626-5900
Fax Number : 612-676-4047
Provider Business Practice Location Address
First Line : 2450 RIVERSIDE AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55454-1450
Country : US
Telephone Number : 612-672-7422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2020
Last Update Date : 01/12/2026

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Directions to “ BAILEY YOUNG PA-C” Practice Location

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