Individual
DR. JACKY THUVAN DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
420 S SAGINAW ST, FLINT, MI 48502-1803
(810) 232-3522
(810) 762-4494
Mailing address
420 S SAGINAW ST, FLINT, MI 48502-1803
(810) 232-3522
(810) 762-4494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101014969
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114632041
—
MI
05
—
114632050
—
MI
05
—
114632060
—
MI
05
—
114632687
—
MI
05
—
114632696
—
MI
01
—
700B512440
BCBS GROUP
MI
01
—
700H248710
BLUE CROSS GROUP NUMBER
MI
01
—
ON69170
MEDICARE GROUP
MI
Enumeration date
08/07/2006
Last updated
08/21/2013
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