Individual
PHONG DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(947) 521-8000
Mailing address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(947) 521-8000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704322234
MI
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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