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Contact Information

THANH H PHAN, MD
4000 HIGHLAND RD
#110
WATERFORD TOWNSHIP, MI48328
 Phone: 248-681-1025
 Fax: 248-681-1533
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for THANH H PHAN · (Male)

NPI Number 1417019969
Status Active
Credentials MD
Entity Individual
Enumeration date 12/14/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 035554
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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