MEDICARE: DIEM HONG VO 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	5101022352	MI
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207Q00000X	Family Medicine Physician	20A13901	CA

General Provider Information

NPI Number	:	1881981553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIEM HONG VO DO

Provider Business Mailing Address
First Line	:	370 E CHICAGO ST
Second Line	:
City	:	COLDWATER
State	:	MI
Zip	:	49036-2062
Country	:	US
Telephone Number	:	517-279-5378
Fax Number	:

Provider Business Practice Location Address
First Line	:	370 E CHICAGO ST
Second Line	:
City	:	COLDWATER
State	:	MI
Zip	:	49036-2062
Country	:	US
Telephone Number	:	517-279-5378
Fax Number	:

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

Provider Enumeration Date	:	07/01/2011
Last Update Date	:	12/15/2021

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Directions to “ DIEM HONG VO DO” Practice Location

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