Individual
KOU VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8675 VALLEY CREEK RD, WOODBURY, MN 55125-2337
(651) 241-3000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11215
MN
Other
Enumeration date
01/24/2024
Last updated
04/30/2024
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