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NPI Code Detail

MEDICARE: NHAN THIEN PHAM MSA

MEDICARE: NHAN THIEN PHAM MSA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367H00000XAnesthesiologist AssistantWI

General Provider Information

NPI Number : 1912862871
Entity Type Code : Individual
Provider Name (Legal Business Name) : NHAN THIEN PHAM MSA
Provider Business Mailing Address
First Line : 9000 W WISCONSIN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53226-4874
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9000 W WISCONSIN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53226-4874
Country : US
Telephone Number : 877-607-5280
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2025
Last Update Date : 12/22/2025

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Directions to “ NHAN THIEN PHAM MSA” Practice Location

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