Individual
MAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-8300
(651) 254-8379
Mailing address
8170 33RD AVE, MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-8300
(651) 254-8379
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
66367
MN
207X00000X
Orthopaedic Surgery Physician
PENDING
IA
207XX0801X
Orthopaedic Trauma Physician
66367
MN
Other
Enumeration date
05/10/2010
Last updated
10/21/2019
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