Individual
EGBERT AUNG KYAING TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2640 W POINT RD, GREEN BAY, WI 54304-1344
(920) 490-3790
Mailing address
899 POST RD, SCARSDALE, NY 10583-5517
(914) 725-5442
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
183140
NY
2084P0800X
Psychiatry Physician
Primary
28445-20
WI
Other
Enumeration date
09/25/2007
Last updated
10/09/2025
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