MEDICARE: ANDREW NGUYEN

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	208800000X	Urology Physician	67418	MN

General Provider Information

NPI Number	:	1952721706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW NGUYEN

Provider Business Mailing Address
First Line	:	7533 11TH AVE S
Second Line	:
City	:	RICHFIELD
State	:	MN
Zip	:	55423-4504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 WASHINGTON AVE SE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55414-2924
Country	:	US
Telephone Number	:	612-672-7422
Fax Number	:

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

Provider Enumeration Date	:	04/20/2014
Last Update Date	:	12/15/2025

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