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Individual
QUAN T NGUYEN
Active
Individual
QUAN T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101016636
MI
207R00000X
Internal Medicine Physician
Primary
N9275
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281177001
—
TX
05
—
281177002
—
TX
05
—
281177003
—
TX
01
—
5101016636
STATE MEDICAL LICENSE
MI
01
—
5315030503
STATE PHARMACY LICENSE
MI
Enumeration date
05/01/2007
Last updated
10/07/2011
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