Most Relevant Information
Provider Data
| NPI Number: | 1003490129 |
| Provider Name: | ANDREW HUY NGUYEN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2021 |
| Last Updated: | 05/06/2021 |
Provider Practice Location
100 MICHIGAN ST NE STE A601
GRAND RAPIDS
MI
495032560
Practice Location Phone/Fax
| Phone: | 6163913245 |
| Fax: | 6163913130 |
Provider Mailing Location
100 MICHIGAN ST NE STE A601
GRAND RAPIDS
MI
495032560
Provider Mailing Phone/Fax
| Phone: | 6163913245 |
| Fax: | 6163913130 |