Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phan H Thanh M D P C

Organization Surgery Physician · NPI 1063682219

Phan H Thanh M D P C is a Surgery Physician in Waterford, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
Specialties on file
2

Practice location Address checks out

4000 Highland Rd Ste 110
Waterford, MI 48328-2167
Phone: (248) 681-1025
Fax: (248) 681-1533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301 035554 (MI)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 4301 035554 (MI)

Record details

NPI number1063682219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thanh Phan — President · (248) 681-1025
NPI enumeratedMarch 4, 2008
Last updated in NPPESApril 4, 2008
Mailing address4000 Highland Rd, Suite 110, Waterford, MI 48328-2167

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