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Individual
JOSEPH E TANENBAUM
Active
Individual
JOSEPH E TANENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
79676
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036181191
IL
Other
Enumeration date
03/21/2020
Last updated
08/17/2026
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