Individual
ELENA M PUIG-WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 W 66TH ST STE 150, EDINA, MN 55435-2109
(952) 920-7200
(763) 302-4234
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(941) 400-3295
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12752
MN
363AS0400X
Surgical Physician Assistant
PA030946
DC
Other
Enumeration date
08/06/2013
Last updated
03/08/2022
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