Tai Tan Nguyen, D.O.
Family Medicine in Oak Creek, WI. Individual provider (NPI-1).
NPI number1790103497
StatusActive
Last updated in NPPESApr 14, 2019
Details
- NPI
- 1790103497
- Entity type
- Individual (NPI-1)
- Name
- Tai Tan Nguyen
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2014
- Last updated
- Apr 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 64694-21 | WI | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
7901 S 6th StOak Creek, WI 53154-2010
Phone 414-346-8000 · Fax 414-346-8010
Mailing address
7901 S 6th StOak Creek, WI 53154-2010
Phone 414-346-8000 · Fax 414-346-8010
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