Individual
LUAN NHAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 DUBOIS DR, WARSAW, IN 46580-3210
(574) 267-3200
Mailing address
PO BOX 110, WARSAW, IN 46581-0110
(574) 267-3200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01057625A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200432860
—
IN
Enumeration date
04/25/2006
Last updated
12/21/2021
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