Individual provider · Type 1 NPI
Matthew Seng Thao
Student in an Organized Health Care Education/Training Program · Maplewood, MN
NPI number
1700264751
Active
Practice location
1470 Gervais Ave
Maplewood, MN 55109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | D734045708114 (MN) |
Student in an Organized Health Care Education/Training Program: 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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About NPI 1700264751
Matthew Seng Thao's National Provider Identifier is 1700264751, issued on May 11, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Maplewood, MN. The record was last updated on May 11, 2015.