Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 34013631 | OH |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101020339 | MI |
NPI | 1770922643 |
---|---|
Provider Name | Quynh-Nhu Vu |
First Address | Toledo, OH 43604-1558 |
Second Address | Maumee, OH 43537 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2013 |
Last Update Date | 21/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0332900 | (05) | OH |