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Provider Information for 1164702585

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. THUY MINH NGUYEN D.O., M.S.

Gender: MALE

Individual NPI: 1164702585

Calendar   Last Updated:  2020-02-03
  Certification Date:  2020-02-03

Details

Name Value
NPI 1164702585
Enumeration Date 2011-08-17
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 4310 W SPRUCE ST UNIT 216
TAMPA, FL 33607-4258
United States

Phone: 417-894-5402 | Fax:
View Map External Link
Primary Practice Address 2727 W DOCTOR MARTIN LUTHER KING JR BLVD #590
TAMPA, FL 33607
United States

Phone: 813-534-6269 | Fax: 813-870-0008
View Map External Link
Secondary Practice Address 3181 SW SAM JACKSON PARK RD DEPT OF
PORTLAND, OR 97239
United States

Phone: 503-418-0980 | Fax:
View Map External Link

18 WALNUT ST
HILLSDALE, MI 49242-1931
United States

Phone: 417-894-5402 | Fax:
View Map External Link

2630 HOUSTON ST
DEARBORN, MI 48124-4195
United States

Phone: 417-894-5402 | Fax:
View Map External Link

2630 HOUSTON ST
DEARBORN, MI 48124-4195
United States

Phone: 417-894-5402 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207X00000X - Orthopaedic Surgery FL OS15764
No 207T00000X - Neurological Surgery MI 5101019556
No 207X00000X - Orthopaedic Surgery OR DO186723