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Individual

PETER THAI YANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1504 WHITE BEAR AVE NORTH, SAINT PAUL, MN 55106
(651) 771-5778
(651) 771-5775
Mailing address
1504 WHITE BEAR AVENUE NORTH, SAINT PAUL, MN 55106
(651) 771-5778
(651) 771-5775

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44150
MN

Other

Enumeration date
12/02/2006
Last updated
07/08/2007
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