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Individual

DR. HENRY KAH MIN BONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 OSBORNE RD, #110, FRIDLEY, MN 55432
(763) 236-2075
(763) 236-2080
Mailing address
500 OSBORNE RD, #110, FRIDLEY, MN 55432
(763) 236-2075
(763) 236-2080

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
22670020
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
26086
MN
207V00000X
Obstetrics & Gynecology Physician
MD227818
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831213438
WI
05
428302300
MN
Enumeration date
03/19/2007
Last updated
03/02/2026
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