Provider Demographics
NPI:1518227040
Name:HUYNH, MICHAEL QUANG-MINH (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:QUANG-MINH
Last Name:HUYNH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:192 PROSSER RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38464-4233
Mailing Address - Country:US
Mailing Address - Phone:931-762-2332
Mailing Address - Fax:757-569-7553
Practice Address - Street 1:192 PROSSER RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:TN
Practice Address - Zip Code:38464-4233
Practice Address - Country:US
Practice Address - Phone:931-762-2332
Practice Address - Fax:931-762-1613
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0102204412208600000X
TNDO-0000003634208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery