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Individual

TSEWANG NGODUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2810 NICOLLET AVE, MINNEAPOLIS, MN 55408-4708
(612) 545-9000
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
44032
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
054983500
MN
Enumeration date
06/11/2006
Last updated
03/22/2021
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