# DR. MICHAEL C TAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386935500
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 57414-20 | WI | — |
| 207L00000X | Anesthesiology Physician | 60120 | MN | Yes |
| 207R00000X | Internal Medicine Physician | 0101249917 | VA | — |
| 207R00000X | Internal Medicine Physician | 018923 | ME | — |
| 207R00000X | Internal Medicine Physician | 15555 | NH | — |
| 207R00000X | Internal Medicine Physician | 57414-20 | WI | — |

## Other

- **Enumeration date:** 04/21/2011
- **Last updated:** 01/09/2016