Fong Medical Clinic, PA
NPI #1316043425 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1316043425
- Entity Type
- Organization
- Organization Name
- Fong Medical Clinic, PA
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 105 NEW ENGLAND PL
- Address 2
- SUITE 220
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-5783
- Phone
- (651) 731-3664
Authorized Official
- Name
- DR. MILTON TAN FONG, MD
- Title
- PRESIDENT
- Phone
- (651) 731-3664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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