Search › Minnesota › 3747P1801X
Peuang Baccam
NPI 1992927602 · on the registry since 2007
Practice
- Address
- 7515 11th Ave S
Richfield, MN 55423 - Phone
- (612) 861-2337
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota