Individual
KHUONG VUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
640 JACKSON ST, MAIL CODE 11107E, SAINT PAUL, MN 55101-2502
(651) 254-9545
Mailing address
640 JACKSON ST, MAIL CODE 11107E, SAINT PAUL, MN 55101-2502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
102815
MN
Other
Enumeration date
12/06/2006
Last updated
12/30/2008
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