Individual
DR. XIAOGUANG SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(763) 244-9910
Mailing address
17733 76TH AVE N, MAPLE GROVE, MN 55311-3783
(763) 244-9910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50458
MN
Other
Enumeration date
11/30/2007
Last updated
11/01/2010
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