Individual
DR. JEREMY MARK TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 N LORRAINE ST, STE 202, HUTCHINSON, KS 67501-5670
(620) 663-7595
Mailing address
1600 N LORRAINE ST, STE 202, HUTCHINSON, KS 67501-5670
(620) 663-7595
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04-30625
KS
Other
Enumeration date
07/14/2006
Last updated
11/18/2015
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