Individual
DR. CATHERINE T PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4300 EDGEWOOD DRIVE NE, ST. MICHAEL, MN 55376
(763) 744-4000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45278
MN
208000000X
Pediatrics Physician
K7439
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711113400
—
MN
Enumeration date
03/09/2006
Last updated
11/14/2011
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