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Individual

DR. MICHAEL C TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
57414-20
WI
207L00000X
Anesthesiology Physician
Primary
60120
MN
207R00000X
Internal Medicine Physician
0101249917
VA
207R00000X
Internal Medicine Physician
018923
ME
207R00000X
Internal Medicine Physician
15555
NH
207R00000X
Internal Medicine Physician
57414-20
WI

Other

Enumeration date
04/21/2011
Last updated
01/09/2016
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