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Individual
ALEX PORTER TANNENBAUM
Active
Individual
ALEX PORTER TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
84997-20
WI
Other
Enumeration date
04/04/2023
Last updated
12/11/2024
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