Individual
DR. THANH Q TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 E WISCONSIN AVE STE 2100, MILWAUKEE, WI 53202-4809
(414) 290-6700
Mailing address
309 W JOHNSON ST APT 716, MADISON, WI 53703-3553
(608) 302-9311
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
39995
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32475000
—
WI
Enumeration date
07/15/2006
Last updated
11/03/2020
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