Individual
VUI VAN MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
919 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-3344
(763) 389-6577
Mailing address
919 NORTHLAND DR, PRINCETON, MN 55371-2172
(763) 389-3344
(763) 389-6577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
44773
CO
207Q00000X
Family Medicine Physician
Primary
46789
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80231268
—
CO
Enumeration date
03/01/2006
Last updated
10/14/2015
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