Individual
GISELLE JOAN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 W AGENCY RD, WEST BURLINGTON, IA 52655-1643
(319) 768-4970
Mailing address
1221 S GEAR AVE, WEST BURLINGTON, IA 52655-1679
(319) 768-1000
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
12646
MT
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
4301085685
MI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
MD48950
IA
Other
Enumeration date
04/17/2007
Last updated
11/02/2021
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