Individual
DR. TIMOTHY LEONOR TAN
Active
Individual
DR. TIMOTHY LEONOR TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
70062322
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
02007763A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125064426
IL
Other
Enumeration date
05/14/2013
Last updated
11/26/2025
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