DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHONG NGUYEN, ADT

Active

PHONG NGUYEN, ADT is a 125K00000X healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1528509510 is currently active in the NPPES registry. Verify at CMS.

125K00000X · MINNEAPOLIS, MN

Registration Details

NPI Number
1528509510
Provider Type
Individual
Gender
Male
NPI Issued
Mar 10, 2017 (9.3955495981995 yrs)
Last Updated
Mar 28, 2019
Licenses
H9909 (MN)
DT78 (MN)
DT78 (MN)

Practice Information

Address
1213 E FRANKLIN AVE
MINNEAPOLIS, MN, 55404
Browse MN providers · Browse ZIP 55404
Phone
6128728086
Fax
6128728547
Primary Specialty
125K00000X
125K00000X
Additional Specialty
125J00000X
Additional Specialty
125K00000X

Other 125K00000X Providers in MINNEAPOLIS, MN

Name Credential NPI
MRS. DANAE MARIE SEYFFER DT 1083970750
TANU DHOOPAR ADT 1124483656
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.