Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 4301088528 | MI |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 4301088528 | MI |
NPI | 1023235884 |
---|---|
Provider Name | Viet Huu Do |
First Address | Grand Rapids, MI 49525-6406 |
Second Address | Grand Rapids, MI 49525-6406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2007 |
Last Update Date | 29/01/2013 |