Individual
LONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 MICHIGAN ST NE, SUITE 300, GRAND RAPIDS, MI 49503-2543
(616) 391-6243
Mailing address
1200 E MICHIGAN AVE STE 655, LANSING, MI 48912-1837
(517) 364-5388
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301107980
MI
Other
Enumeration date
06/26/2015
Last updated
06/29/2020
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