Individual provider · Type 1 NPI

Thanh Huu Phan, MD

Surgery Physician · Waterford Township, MI

NPI number 1417019969 Active

Practice location

4000 Highland Rd, #110
Waterford Township, MI 48328

Fax (248) 681-1533

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X035554 (MI)
Vascular Surgery Physician 2086S0129X035554 (MI)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

18 other providers at this address

About NPI 1417019969

Thanh Huu Phan, MD's National Provider Identifier is 1417019969, issued on Dec 14, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Waterford Township, MI. The record was last updated on Sep 11, 2025.