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NPI Code Detail

MEDICARE: DUYEN TRAN

MEDICARE: DUYEN TRAN
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
1363A00000XPhysician Assistant5601013756MI

General Provider Information

NPI Number : 1912770090
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUYEN TRAN
Provider Business Mailing Address
First Line : 3475 PLYMOUTH RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48105-2550
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3475 PLYMOUTH RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48105-2550
Country : US
Telephone Number : 310-349-6470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2023
Last Update Date : 04/08/2026

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Directions to “ DUYEN TRAN ” Practice Location

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