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1952382517

NPI Code Detail

MEDICARE: DR. TRINH NGUYEN DO

MEDICARE: DR. TRINH NGUYEN DO

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
1	207Q00000X	Family Medicine Physician	5101011389	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0100309	OTHER	MI	PHYSICIANS HEALTH PLAN
2	080D410020	OTHER	MI	COMMUNITY BLUE PPO
3	4627071	OTHER	MI	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	080D410020	OTHER	MI	BLUE CROSS BLUE SHIELD
6	0853301474	OTHER	MI	BLUE CROSS BLUE SHIELD
7	080D410020	OTHER	MI	BLUE CHOICE
8	201481	OTHER	MI	HEALTH ADVANTAGE NETWORK
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	201481	OTHER	MI	MCLAREN HEALTH PLAN
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	F67647	OTHER	MI	HEALTH NET FED SERVICES
13	080D410020	OTHER	MI	BLUE CARE NETWORK

General Provider Information

NPI Number	:	1952382517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRINH NGUYEN DO

Provider Business Mailing Address
First Line	:	401 S BALLENGER HWY
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48532-3638
Country	:	US
Telephone Number	:	810-342-1000
Fax Number	:	810-342-1590

Provider Business Practice Location Address
First Line	:	2316 S CEDAR ST
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48910-3152
Country	:	US
Telephone Number	:	517-702-4130
Fax Number	:	517-702-4139

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	01/29/2016

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Directions to “ DR. TRINH NGUYEN DO” Practice Location

Language	Start Address	Practice Location

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