Individual provider · Type 1 NPI

Trang H. Phan, PA-C

Medical Physician Assistant · Essexville, MI

NPI number 1295919280 Active

Practice location

1003 Woodside Ave
Essexville, MI 48732-1234

Fax (989) 892-7455

Mailing address

4300 Milan Ave SW
Wyoming, MI 49509-4427

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601004098 (MI)

Medical Physician Assistant: Definition to come...

4 other providers at this address

About NPI 1295919280

Trang H. Phan, PA-C's National Provider Identifier is 1295919280, issued on Dec 26, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Essexville, MI. The record was last updated on Dec 28, 2007.