CHUATONG THAO, OD

Optometrist

Active Individual
NPI: 1609397116

Practice Address

11651 FOUNTAINS DR STE A-104
Maple Grove, MN 55369

Phone: (763) 315-1149

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 3526 (MN)

Frequently Asked Questions

NPI 1609397116 is the National Provider Identifier for CHUATONG THAO, OD, a Optometrist provider located in Maple Grove, MN. This NPI was enumerated on July 6, 2017.
CHUATONG THAO, OD practices at 11651 FOUNTAINS DR STE A-104, Maple Grove, MN 55369.

Quick Facts

NPI
1609397116
Type
Individual
Enumerated
Jul 6, 2017
Last Updated
Jul 6, 2017

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