Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Seng Thao

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700264751

Matthew Seng Thao is a Student in an Organized Health Care Education/Training Program in Maplewood, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015

Practice location Address checks out

1470 Gervais Ave
Maplewood, MN 55109
Phone: (651) 230-9093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence D734045708114 (MN)

Record details

NPI number1700264751
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 11, 2015
Last updated in NPPESMay 11, 2015
Mailing address1470 Gervais Ave, Maplewood, MN 55109-2050

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