Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0004X | Dentist Anesthesiologist | 30.022083 | OH |
NPI | 1033179692 |
---|---|
Provider Name | Dr. Anh-Steve Huy Nguyen |
First Address | Medina, OH 44256-8697 |
Second Address | Medina, OH 44256-8697 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 25/06/2013 |