Provider Demographics
NPI:1265938120
Name:NGUYEN, TRI (DO)
Entity type:Individual
Prefix:
First Name:TRI
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF MICHIGAN'S GRADUATE MEDICAL EDUCATION
Mailing Address - Street 2:2600 GREEN ROAD, SUITE 150-B, SPC 5791
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-764-3186
Mailing Address - Fax:
Practice Address - Street 1:2600 GREEN RD STE 150-B
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-4631
Practice Address - Country:US
Practice Address - Phone:734-764-3186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-31
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101027878207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine