Individual
THANH PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2155 FORD PKWY STE A, SAINT PAUL, MN 55116-2799
(651) 696-5000
Mailing address
400 STINSON BLVD FL 2, REV MGMT, MINNEAPOLIS, MN 55413-2614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67245
MN
Other
Enumeration date
06/02/2017
Last updated
08/21/2020
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