Provider Demographics
NPI:1699126169
Name:XIONG, TOU LEE (MD)
Entity type:Individual
Prefix:
First Name:TOU
Middle Name:LEE
Last Name:XIONG
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:8170 33RD AVE S # MS 21110Q
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-967-6614
Mailing Address - Fax:651-653-2125
Practice Address - Street 1:1430 HIGHWAY 96 E
Practice Address - Street 2:
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-3653
Practice Address - Country:US
Practice Address - Phone:952-967-6614
Practice Address - Fax:651-653-2125
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2020-11-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IAR-10691207Q00000X
MN68398207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine