Individual
FOUA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5123 W 98TH ST # 2082, MINNEAPOLIS, MN 55437-2040
(612) 254-9456
Mailing address
5123 W 98TH ST # 2082, MINNEAPOLIS, MN 55437-2040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5953-23
WI
Other
Enumeration date
11/08/2020
Last updated
12/01/2025
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