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Contact Information

HENRY K BONG, MD
500 OSBORNE RD
#110
FRIDLEY, MN55432
 Phone: 763-236-2075
 Fax: 763-236-2080
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for HENRY K BONG · (Male)

NPI # 1831213438
Status Active
Credentials MD
Entity Individual
Enumeration date 03/19/2007
Last updated 03/02/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 26086
  • OR License # MD227818
  • WI License # 22670020
  • MN Medicaid 428302300
  • WI Medicaid 1831213438
Hospital affiliation(s)
  • BURNETT MED CTR - (Critical Access)
    257 W ST GEORGE AVE
    GRANTSBURG, WI 54840
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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