Individual
DR. ERINE OI MING FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 S MAPLE ST, WACONIA, MN 55387-1752
(952) 442-2191
Mailing address
7475 FLYING CLOUD DR APT 406, EDEN PRAIRIE, MN 55344-3823
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
53885
MN
Other
Enumeration date
06/18/2008
Last updated
02/29/2012
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