Individual
NOUCHEE VANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 BLAISDELL AVE S, MINNEAPOLIS, MN 55404-2412
(952) 993-8000
(952) 993-8039
Mailing address
2001 BLAISDELL AVE S, MINNEAPOLIS, MN 55404-2412
(952) 993-8000
(952) 993-8039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60949
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2015
Last updated
09/20/2018
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