Individual
JACKIE HOAITRAM PHAM HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
7600 FRANCE AVE S STE 1100, EDINA, MN 55435-5924
(952) 926-3566
(952) 929-3358
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
954
MN
Other
Enumeration date
04/01/2013
Last updated
04/21/2025
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