Organization
ADVANCED MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER THAI YANG M. D. (CEO)
(651) 771-5778
Entity
Organization
Contact information
Practice address
491 UNIVERSITY AVE W, SUITE# B, SAINT PAUL, MN 55103-1936
(651) 771-5778
(651) 771-5775
Mailing address
491 UNIVERSITY AVE W, SUITE# B, SAINT PAUL, MN 55103-1936
(651) 771-5778
(651) 771-5775
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
44150
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529105400
—
MN
Enumeration date
09/24/2008
Last updated
03/04/2009
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