Individual
DR. CHAROEN MANKONGPAISARNRUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-8680
(651) 254-8656
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
10178
SD
207RG0100X
Gastroenterology Physician
Primary
70746
MN
207RG0100X
Gastroenterology Physician
MD042302
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/07/2011
Last updated
07/21/2022
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