Individual
JANICE CHUA GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41894
MN
2080A0000X
Pediatric Adolescent Medicine Physician
41894
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071695200
—
MN
01
—
1202358
MEDICA
MN
01
—
1203069
MEDICA
MN
01
—
299L6GO
BLUE CROSS BLUE SHIELD
MN
01
—
CP9091022251
PREFERRED ONE
MN
Enumeration date
09/07/2005
Last updated
12/01/2011
Update your record
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