person
Mai See Thao, PA-C
Medical Physician Assistant in Andover, Minnesota
NPI 1245420710

Mai See Thao is a Medical Physician Assistant based in Champlin, MN and is specialized in Medical. Mai See Thao practices in Andover, MN and has the professional credentials of PA-C. The NPI Number for Mai See Thao is 1245420710 and holds a License No. (Minnesota).

The current practice location address for Mai See Thao is 13819 Hanson Blvd Nw, Andover, MN and can be reached out via phone at 763-392-4001.

Location: 13819 Hanson Blvd Nw, Andover, MN, 55316-2494
person
Provider Profile Details
NPI Number
1245420710
Provider Name
Mai See Thao
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
13819 Hanson Blvd Nw, Andover, MN, 55316-2494
Phone Number
763-392-4001
Fax Number
Provider Enumeration Date
07/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107717 01 MN NCCPA ID
institution
Provider Business Practice Location Address Details
Address
13819 Hanson Blvd Nw
City
State
Zip
55304-7608
Phone Number
763-392-4001
Fax Number
person
Provider Business Mailing Address Details
Address
13819 Hanson Blvd Nw
City
State
Zip
55304-7608
Phone Number
763-392-4001
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
(Minnesota)
Definition
Definition to come...
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