Individual
CHARLES VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 BEAM AVE, MAPLEWOOD, MN 55109-1162
(651) 241-9500
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59605
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2014
Last updated
03/11/2021
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