Most Relevant Information
Provider Data
| NPI Number: | 1003686445 |
| Provider Name: | ROOSEVELT YANG DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 7183 |
Most Important Dates
| Enumeration Date: | 01/08/2024 |
| Last Updated: | 01/08/2024 |
Provider Practice Location
2201 LEXINGTON AVE N
SAINT PAUL
MN
551134313
Practice Location Phone/Fax
| Phone: | 6514875950 |
| Fax: |
Provider Mailing Location
2201 LEXINGTON AVE N
SAINT PAUL
MN
551134313
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |