Individual
PROF. TAO GONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
6545 FRANCE AVE S # C-21, EDINA, MN 55435-2131
(952) 922-5000
(952) 922-5003
Mailing address
5717 KEMRICH DR, EDINA, MN 55439-1813
(952) 828-9888
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1348
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63074
HEALTHPERTNAR PDR NUM
MN
Enumeration date
01/24/2007
Last updated
07/08/2007
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