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Individual

DR. JONG DUK KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-2987
(651) 254-1603
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
47957
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
47957
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
141600600
MN
Enumeration date
02/21/2006
Last updated
03/03/2026
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