Provider Demographics
NPI:1679540785
Name:YUE, SAMUEL KA-SHENG (MD)
Entity type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:KA-SHENG
Last Name:YUE
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4928 POPPY LN
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4013
Mailing Address - Country:US
Mailing Address - Phone:952-929-4117
Mailing Address - Fax:
Practice Address - Street 1:8650 HUDSON BLVD N
Practice Address - Street 2:
Practice Address - City:LAKE ELMO
Practice Address - State:MN
Practice Address - Zip Code:55042-8451
Practice Address - Country:US
Practice Address - Phone:651-731-0707
Practice Address - Fax:651-739-1674
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN25558207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MND081154Medicare UPIN