Provider Demographics
NPI:1083831366
Name:NGUYEN, DUYLINH PHAM (DC)
Entity type:Individual
Prefix:
First Name:DUYLINH
Middle Name:PHAM
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 78TH AVE N STE 200
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55445-2745
Mailing Address - Country:US
Mailing Address - Phone:763-566-5888
Mailing Address - Fax:763-566-6111
Practice Address - Street 1:7001 78TH AVE N STE 200
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55445-2745
Practice Address - Country:US
Practice Address - Phone:763-566-5888
Practice Address - Fax:763-566-6111
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4626111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic