Individual
DR. TAN DUY NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(571) 232-8874
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
61331
MN
2084P0800X
Psychiatry Physician
61331
MN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
61331
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500638199
—
OR
05
—
500657981
—
OR
Enumeration date
06/17/2008
Last updated
02/25/2022
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