Individual
CHAU THI MINH DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 852-1524
(219) 933-2288
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28224615A
IN
363LF0000X
Family Nurse Practitioner
Primary
71012543A
IN
Other
Enumeration date
03/29/2022
Last updated
04/18/2025
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