Provider Demographics
NPI:1770574196
Name:PARKINSON, DANIEL YOUNG (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:YOUNG
Last Name:PARKINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 365
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MN
Mailing Address - Zip Code:55362-0365
Mailing Address - Country:US
Mailing Address - Phone:612-710-3671
Mailing Address - Fax:763-295-4946
Practice Address - Street 1:69 WEST EXCHANGE STREET
Practice Address - Street 2:ST JOSEPHS HOSPITAL
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102
Practice Address - Country:US
Practice Address - Phone:651-232-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN385612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1531957OtherMEDICA
MN28F43PAOtherBCBS OF MN
F20222Medicare UPIN