Individual
TONG VAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 863-4000
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-086604
OH
207R00000X
Internal Medicine Physician
Primary
44594
MN
Other
Enumeration date
03/15/2006
Last updated
11/10/2020
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