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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265015358

Dr. Paulina Phomvongsa, MD is a Student in an Organized Health Care Education/Training Program in Wyoming, Michigan. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5900 Byron Center Ave SW
Wyoming, MI 49519-9686
Phone: (616) 510-8753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1265015358
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2021
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

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