MS. Autumn Nguyen, PAC

NPI #1003199910 in Livonia, Michigan

Provider Information

NPI Number: 1003199910
Entity Type: Individual
Name: MS. Autumn Nguyen, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Sep 27, 2011
Last Updated: Feb 17, 2020

Practice Location

Address: 38935 ANN ARBOR RD
Address 2: CREDENTIALING/PAYER ENROLLMENT DEPT
City: Livonia
State: Michigan
ZIP Code: 48150-3397
Phone: (734) 632-0175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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