Individual
THANH HUU PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 HIGHLAND RD, #110, WATERFORD TWP, MI 48328
(248) 681-1025
(248) 681-1533
Mailing address
4000 HIGHLAND RD, #110, WATERFORD TWP, MI 48328
(248) 681-1025
(248) 681-1533
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
035554
MI
2086S0129X
Vascular Surgery Physician
035554
MI
Other
Enumeration date
12/14/2006
Last updated
09/11/2025
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