Provider Demographics
NPI:1558685834
Name:YOUSUF, AMIN M (PA)
Entity Type:Individual
Prefix:
First Name:AMIN
Middle Name:M
Last Name:YOUSUF
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:2925 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1321
Mailing Address - Country:US
Mailing Address - Phone:612-262-9000
Mailing Address - Fax:
Practice Address - Street 1:8170 OLD CARRIAGE CT STE 100
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-3164
Practice Address - Country:US
Practice Address - Phone:952-428-3600
Practice Address - Fax:952-428-3636
Is Sole Proprietor?:No
Enumeration Date:2010-03-16
Last Update Date:2023-10-05
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Provider Licenses
StateLicense IDTaxonomies
MN1389363A00000X
MN10729363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant