Individual provider · Type 1 NPI

Elena M. Puig-Wong, PA-C

Medical Physician Assistant · Edina, MN

NPI number 1982036463 Active

Practice location

3400 W 66th St Ste 150
Edina, MN 55435-2109

Call (952) 920-7200 Map

Fax (763) 302-4234

Mailing address

909 Fulton St SE
Minneapolis, MN 55455-4800

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA030946 (DC)
Medical Physician Assistant Primary 363AM0700X12752 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1982036463

Elena M. Puig-Wong, PA-C's National Provider Identifier is 1982036463, issued on Aug 6, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Edina, MN. The record was last updated on Mar 8, 2022.