Individual
KYU HONG TAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14585 GRAND AVE STE 206, BURNSVILLE, MN 55306-5719
(612) 723-2042
Mailing address
14585 GRAND AVE STE 206, BURNSVILLE, MN 55306-5719
(612) 723-2042
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1529
MN
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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