Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sue Young Park, MD

Individual provider Family Medicine Physician · NPI 1417999491

Sue Young Park, MD is a Family Practice in Minneapolis, Minnesota. Graduated from Tulane University School of Medicine in 1992, 34 years ago. Licensed in Minnesota.

Years since qualifying
34
Trained at
Tulane University School of Medicine
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

410 Church St SE
Minneapolis, MN 55455-0222
Phone: (612) 625-8400
Fax: (612) 677-3211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 36666 (MN)

Record details

NPI number1417999491
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESDecember 13, 2024
Certification dateDecember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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