Individual
MICHAEL M NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
MD-39087
IA
207QS0010X
Sports Medicine (Family Medicine) Physician
27606
NE
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
8929
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578722781
—
IA
05
—
1578722781
—
NE
05
—
1578722781
—
SD
Enumeration date
06/03/2008
Last updated
10/26/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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