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Individual

MAXWELL VANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
18334 JOPLIN ST NW, ELK RIVER, MN 55330-1773
(612) 230-0308
Mailing address
20299 ENGEN BLVD NW, NOWTHEN, MN 55330-8020

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
10/09/2024
Last updated
10/09/2024
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