Individual
EDWARD LOON CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 328-9566
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23307
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620500300
—
MN
Enumeration date
05/17/2006
Last updated
11/22/2016
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