Individual
DR. PHUDHIPHORN THIENPRASIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
1675 BEAM AVE, STE 215, MAPLEWOOD, MN 55109-1172
(651) 748-1461
(651) 777-1191
Mailing address
1675 BEAM AVE, STE 215, MAPLEWOOD, MN 55109-1172
(651) 748-1461
(651) 777-1191
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
21230
MN
Other
Enumeration date
06/01/2005
Last updated
12/05/2007
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