Tao Gong, L.Ac
Acupuncturist in Edina, MN. Individual provider (NPI-1).
NPI number1750436192
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1750436192
- Entity type
- Individual (NPI-1)
- Name
- Prof. Tao Gong
- Credential
- L.Ac
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 24, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 1348 | MN | Yes |
Practice location
6545 France Ave S # C-21Edina, MN 55435-2131
Phone 952-922-5000 · Fax 952-922-5003
Mailing address
5717 Kemrich DrEdina, MN 55439-1813
Phone 952-828-9888
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