Individual
PHAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
5101013356
MI
207VX0000X
Obstetrics Physician
Primary
OS12836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114832810
—
MI
01
—
160B576250
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/20/2006
Last updated
05/22/2025
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