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Dr. Paulina Phomvongsa, MD
Student in an Organized Health Care Education/Training Program in Wyoming, Michigan
NPI 1265015358

Paulina Phomvongsa is a Student in an Organized Health Care Education/Training Program based in Wyoming, MI. Paulina Phomvongsa practices in Wyoming, MI and has the professional credentials of MD. The NPI Number for Paulina Phomvongsa is 1265015358 and holds a License No. (Michigan).

The current practice location address for Paulina Phomvongsa is 5900 Byron Center Ave Sw, Wyoming, MI and can be reached out via phone at 616-510-8753.

Location: 5900 Byron Center Ave Sw, Wyoming, MI, 49519-9686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265015358
Provider Name
Paulina Phomvongsa
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5900 Byron Center Ave Sw, Wyoming, MI, 49519-9686
Phone Number
616-510-8753
Fax Number
Provider Enumeration Date
05/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5900 Byron Center Ave Sw
City
Wyoming
State
Michigan
Zip
49519-9686
Phone Number
616-510-8753
Fax Number
person
Provider Business Mailing Address Details
Address
5900 Byron Center Ave Sw
City
Wyoming
State
Michigan
Zip
49519-9686
Phone Number
616-510-8753
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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