Individual
MINGDA DAVID SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3311
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1609436955
IL
Other
Enumeration date
06/18/2019
Last updated
08/03/2020
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