Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAM NGUYEN, DO
ActiveTAM NGUYEN, DO is a Dermatology healthcare provider located in MENASHA, Wisconsin. NPI 1619437365 is currently active in the NPPES registry. Verify at CMS.
Dermatology · MENASHA, WI
Registration Details
- NPI Number
- 1619437365
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2019 (7.4195049429465 yrs)
- Last Updated
- May 22, 2025
- Licenses
-
81269 (WI)81269 (WI)
Practice Information
- Address
-
1550 MIDWAY PLMENASHA, WI, 549521165Browse WI providers · Browse ZIP 54952
- Phone
- 9207382000
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in MENASHA, WI
| Name | Credential | NPI |
|---|---|---|
| MICHELE A HOLDER | MD | 1598741803 |
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.