Individual
THAI NGOC VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5700 BOTTINEAU BLVD STE 100, CRYSTAL, MN 55429-3184
(763) 504-6500
(763) 537-1972
Mailing address
5700 BOTTINEAU BLVD STE 100, CRYSTAL, MN 55429-3184
(763) 504-6500
(763) 537-1972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
80691
MN
Other
Enumeration date
03/30/2022
Last updated
12/11/2025
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