THIRATH MARK LUONG

EAGAN, MN
NPI1629304654
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MN  10898)
Enumeration Date2009-10-27
Last Update Date2022-07-21
Business Address
-- THIRATH MARK LUONG PA-C
2620 EAGAN WOODS DR STE 100
EAGAN, MN 55121-1138
Phone number: 651-968-5230
Mailing Address
-- THIRATH MARK LUONG PA-C
710 COMMERCE DR STE 200
WOODBURY, MN 55125-4925
Phone number: 651-968-5042