Healthcare Provider Details

I. General information

NPI: 1447208616
Provider Name (Legal Business Name): HOJUNG J YOON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HO JUNG YOON MD

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 08/12/2025
Certification Date: 07/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

69 EXCHANGE ST W
SAINT PAUL MN
55102-1004
US

IV. Provider business mailing address

100 ROBERT AVE N STE 100
JASPER MN
56144-1219
US

V. Phone/Fax

Practice location:
  • Phone: 651-232-3000
  • Fax:
Mailing address:
  • Phone: 612-615-8227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2025020336
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number2025020336
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number42296
License Number StateMN
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number42296
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: