Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 62214 | MN |
Y | 208600000X | Surgeon | 62214 | MN |
NPI | 1003193509 |
---|---|
Provider Name | Dr. Nhat-Anh Nguyen Ngo |
First Address | Princeton, MN 55371-2172 |
Second Address | Princeton, MN 55371-2172 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2011 |
Last Update Date | 17/03/2018 |