Individual
JACQUELINE HUYNH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22260 CAPE COD WAY, FARMINGTON HILLS, MI 48336-4377
(651) 335-6036
Mailing address
22260 CAPE COD WAY, FARMINGTON HILLS, MI 48336-4377
(651) 335-6036
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
47424
MN
2085R0202X
Diagnostic Radiology Physician
Primary
4301084332
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201146800
—
MN
Enumeration date
07/05/2006
Last updated
11/09/2009
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