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

Tam Nguyen, DO

Individual provider MOHS-Micrographic Surgery Physician · NPI 1619437365

Tam Nguyen, DO is a Dermatology in Menasha, Wisconsin. Graduated from Nova Southeastern College of Osteo Medicine in 2019, 7 years ago. Practices with Ascension Medical Group-Fox Valley Wisconsin, Inc, a 260-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
WI
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1550 Midway Pl
Menasha, WI 54952-1165
Phone: (920) 738-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 81269 (WI)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 81269 (WI)

Record details

NPI number1619437365
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing address1550 Midway Pl, Menasha, WI 54952-1165

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2019 (7 years in practice)
Group practice Ascension Medical Group-Fox Valley Wisconsin, Inc — 260 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount