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Individual

ELAINE TANHEHCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2060
(414) 259-9290

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
82198
WI
2085R0202X
Diagnostic Radiology Physician
82198
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508228206
WI
Enumeration date
03/22/2016
Last updated
09/07/2023
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