Provider Demographics
NPI:1417930363
Name:YOON, HEE J (MD)
Entity Type:Individual
Prefix:DR
First Name:HEE
Middle Name:J
Last Name:YOON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 5074
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5074
Mailing Address - Country:US
Mailing Address - Phone:605-328-6585
Mailing Address - Fax:605-328-6512
Practice Address - Street 1:1018 6TH AVE
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:MN
Practice Address - Zip Code:56187-2202
Practice Address - Country:US
Practice Address - Phone:507-343-6100
Practice Address - Fax:507-372-3620
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2018-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN532432085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C31329Medicare UPIN
MN920000438Medicare PIN