Individual
DR. WILSON HAW LUY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
28716020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295803427
—
WI
05
—
30840400
—
WI
01
—
391845223
UNITY HMO
—
01
—
544905
DEAN CARE HMO
—
Enumeration date
12/04/2006
Last updated
07/14/2025
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