Individual
DR. TIMOTHY TRUNG TIN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
82539
WI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
82539
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134356025
—
WI
Enumeration date
06/17/2009
Last updated
09/29/2023
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