Individual
DR. NGAN THI VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6913 N MAIN ST STE 300, GRANGER, IN 46530-8039
(574) 647-1500
(574) 243-4310
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01059892A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200495190
—
IN
Enumeration date
12/09/2005
Last updated
05/01/2023
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