Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PEUANG BACCAM
ActiveFoot & Ankle Surgery · RICHFIELD, MN
Registration Details
- NPI Number
- 1992927602
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2007 (18.967819365936 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
7515 11TH AVE SRICHFIELD, MN, 554234504Browse MN providers · Browse ZIP 55423
- Phone
- 6128612337
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.