Individual
MAI Z VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1544 TIMBERLAKE RD, SAINT PAUL, MN 55117-3946
(651) 602-7500
Mailing address
20760 XAVIS ST NW, OAK GROVE, MN 55011-9277
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2023
Last updated
08/25/2025
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