Individual
DR. DILIP KUMAR TANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 S WASHBURN ST, CTE 2, OSHKOSH, WI 54904-6710
(920) 231-2555
(920) 236-3248
Mailing address
555 S WASHBURN ST, CTE 2, OSHKOSH, WI 54904-6710
(920) 231-2555
(920) 236-3248
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26504
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30731900
—
WI
Enumeration date
09/16/2006
Last updated
07/08/2007
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