Search › Minnesota › 374U00000X
Derek Young
NPI 1083262224 · on the registry since 2019
Practice
- Address
- 5587 Orchard Cv
Minnetrista, MN 55364 - Phone
- (952) 652-3959
- Organisation at this address
- Acti-Kare
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota