Individual
DR. TAI M CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1 W LINCOLN ST, WAUPUN, WI 53963-1949
(920) 324-5577
Mailing address
408 MADISON ST, BEAVER DAM, WI 53916-2531
(608) 347-3937
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1529
WI
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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