Individual
TRUC THI MINH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 353-2279
Mailing address
4397 SERPENTINE WAY, MASON, OH 45040-8185
(408) 412-4776
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01083480A
IN
207R00000X
Internal Medicine Physician
35123900
OH
208M00000X
Hospitalist Physician
Primary
01083480A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2011
Last updated
10/08/2021
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