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Individual

DR. MICHAEL G TUANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47750-0001
(812) 485-7040
(812) 485-7042
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 962-3834

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01050842A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000585365
ANTHEM PIN
01
100180890G
MEDICAID GROUP
IN
05
200915310
IN
01
50023500
PASSPORT
KY
05
7100053930
KY
01
P00694370
RAIL ROAD MEDICARE
IN
Enumeration date
04/25/2006
Last updated
03/06/2021
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