Individual
HUE C THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W WASHINGTON AVE STE 300, JACKSON, MI 49201-2160
(517) 205-1305
(517) 205-1306
Mailing address
300 W WASHINGTON AVE STE 300, JACKSON, MI 49201-2160
(517) 205-1305
(517) 205-1306
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301102850
MI
2086S0129X
Vascular Surgery Physician
Primary
4301102850
MI
2086S0129X
Vascular Surgery Physician
ME 124176
FL
2086S0129X
Vascular Surgery Physician
ME124176
FL
Other
Enumeration date
11/13/2008
Last updated
11/06/2023
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