Individual
DR. TCHAIKO M PARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3643
(920) 431-5635
Mailing address
1789 SHAWANO AVE, GREEN BAY, WI 54303-3243
(920) 499-1428
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
20901-875
WI
2085R0202X
Diagnostic Radiology Physician
Primary
81739
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467630954
AMERICAN BOARD OF RADIOLOGY/DIAGNOSTIC RADIOLOGY
—
Enumeration date
02/06/2008
Last updated
06/26/2023
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