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Jackson Nguyen, MD
Family Medicine Physician in West Bend, Wisconsin
NPI 1700381977

Jackson Nguyen is a Family Medicine Physician based in West Bend, WI. Jackson Nguyen practices in West Bend, WI and has the professional credentials of MD. The NPI Number for Jackson Nguyen is 1700381977 and holds a License No. (Wisconsin).

The current practice location address for Jackson Nguyen is 1700 W Paradise Dr, West Bend, WI and can be reached out via phone at 262-334-3451.

Location: 1700 W Paradise Dr, West Bend, WI, 53095-9795
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700381977
Provider Name
Jackson Nguyen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1700 W Paradise Dr, West Bend, WI, 53095-9795
Phone Number
262-334-3451
Fax Number
Provider Enumeration Date
03/28/2018
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100099356 05 WI
institution
Provider Business Practice Location Address Details
Address
1700 W Paradise Dr
City
West Bend
State
Wisconsin
Zip
53095-9795
Phone Number
262-334-3451
Fax Number
person
Provider Business Mailing Address Details
Address
1700 W Paradise Dr
City
West Bend
State
Wisconsin
Zip
53095-9795
Phone Number
262-334-3451
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
73277 (Wisconsin)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
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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