Individual
ROBERT G TANCREDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER, MADISON, WI 53715-1911
(608) 252-8000
(608) 252-8245
Mailing address
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER, MADISON, WI 53715-1911
(608) 252-8000
(608) 252-8245
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
48414-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60512
DEAN HEALTH INSURANCE
WI
01
—
P00322589
RAILROAD MEDICARE
WI
Enumeration date
10/14/2005
Last updated
07/08/2007
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