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Individual
HAITHIEN PHU INGALLS
Active
Individual
HAITHIEN PHU INGALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
73477
MN
208000000X
Pediatrics Physician
73477
MN
208M00000X
Hospitalist Physician
Primary
73477
MN
Other
Enumeration date
05/07/2019
Last updated
07/28/2026
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