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Matthew Seng Thao
Student in an Organized Health Care Education/Training Program in Maplewood, Minnesota
NPI 1700264751

Matthew Seng Thao is a Student in an Organized Health Care Education/Training Program based in Maplewood, MN. Matthew Seng Thao practices in Maplewood, MN. The NPI Number for Matthew Seng Thao is 1700264751 and holds a License No. D734045708114 (Minnesota).

The current practice location address for Matthew Seng Thao is 1470 Gervais Ave, Maplewood, MN and can be reached out via phone at 651-230-9093.

Location: 1470 Gervais Ave, Maplewood, MN, 55109-2050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700264751
Provider Name
Matthew Seng Thao
Credential
Provider Entity Type
Individual
Gender
Male
Address
1470 Gervais Ave, Maplewood, MN, 55109-2050
Phone Number
651-230-9093
Fax Number
Provider Enumeration Date
05/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1470 Gervais Ave
City
Maplewood
State
Minnesota
Zip
55109
Phone Number
651-230-9093
Fax Number
person
Provider Business Mailing Address Details
Address
1470 Gervais Ave
City
Maplewood
State
Minnesota
Zip
55109
Phone Number
651-230-9093
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
D734045708114 (Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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