Individual
VY DINH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6611 SPRING ST, MOUNT PLEASANT, WI 53406-2632
(262) 504-3100
Mailing address
6611 SPRING ST, MOUNT PLEASANT, WI 53406-2632
(262) 504-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
71160-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100089979
—
WI
Enumeration date
03/22/2017
Last updated
01/05/2024
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