Individual
NAN TONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2690
(414) 805-2626
Mailing address
118 HOWELL AVE, WAUKESHA, WI 53188-2672
(319) 400-0364
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15713-40
WI
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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