Individual
MICHAEL M NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
Mailing address
575 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5312
(605) 217-2667
(605) 217-2900
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
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