Individual
DR. WILSON HAW LUY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
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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