Individual
DR. NGUYEN H PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2350 N LAKE DR, STE 206, MILWAUKEE, WI 53211-4528
(414) 298-7280
(414) 298-7281
Mailing address
2350 N LAKE DR, STE 206, MILWAUKEE, WI 53211-4528
(414) 298-7280
(414) 298-7281
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
45546 020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34379700
—
WI
Enumeration date
06/22/2005
Last updated
11/24/2010
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