Provider Demographics
NPI:1760780712
Name:VU, PAO VANG (DC)
Entity Type:Individual
Prefix:MR
First Name:PAO
Middle Name:VANG
Last Name:VU
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 MINNEHAHA AVE E
Mailing Address - Street 2:SUITE 355
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-4437
Mailing Address - Country:US
Mailing Address - Phone:651-780-7227
Mailing Address - Fax:651-780-7206
Practice Address - Street 1:800 MINNEHAHA AVE E
Practice Address - Street 2:SUITE 355
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-4437
Practice Address - Country:US
Practice Address - Phone:651-780-7227
Practice Address - Fax:651-780-7206
Is Sole Proprietor?:No
Enumeration Date:2011-02-28
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6172111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor