| Chuatong Thao, OD | |
|
11651 Fountains Dr Ste A-104, Maple Grove, MN 55369-7195 | |
| (763) 315-1149 | |
| Not Available |
| Full Name | Chuatong Thao |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 11651 Fountains Dr Ste A-104, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609397116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3526 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chuatong Thao, OD 11900 Nevada Ave N, Champlin, MN 55316-2217 Ph: () - | Chuatong Thao, OD 11651 Fountains Dr Ste A-104, Maple Grove, MN 55369-7195 Ph: (763) 315-1149 |
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