Individual
DR. TAEHWAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5342 PAOLA CIR, BLOOMINGTON, MN 55437-1052
(952) 835-7353
Mailing address
5342 PAOLA CIR, BLOOMINGTON, MN 55437-1052
(952) 835-7353
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21466
MN
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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