Individual
MR. PENG RODEN HER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
5603 CHICAGO AVE, MINNEAPOLIS, MN 55417-2429
(612) 708-0753
Mailing address
4357 30TH AVE S, MINNEAPOLIS, MN 55406-3710
(612) 708-0753
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1588
MN
Other
Enumeration date
09/28/2012
Last updated
03/01/2018
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