Individual
KALSANG WANGMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
371 OLD HIGHWAY 8 SW APT 205, NEW BRIGHTON, MN 55112-7729
(612) 280-7074
Mailing address
371 OLD HIGHWAY 8 SW APT 205, NEW BRIGHTON, MN 55112-7729
(612) 280-7074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R 163226-0
MN
Other
Enumeration date
08/25/2014
Last updated
04/19/2020
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