Provider Demographics
NPI:1851404867
Name:VO, MI NGUYEN (MD)
Entity Type:Individual
Prefix:
First Name:MI
Middle Name:NGUYEN
Last Name:VO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3334 S GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63118-1017
Mailing Address - Country:US
Mailing Address - Phone:314-776-1467
Mailing Address - Fax:314-776-5082
Practice Address - Street 1:3334 S GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63118-1017
Practice Address - Country:US
Practice Address - Phone:314-776-1467
Practice Address - Fax:314-776-5082
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2006007902207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist