Individual
EDWARD J. TANOUS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 HOSPITAL DRIVE, WINCHESTER, KY 40391-1169
(859) 745-3500
(859) 737-8350
Mailing address
3529 SOLUTIONS CENTER, CHICAGO, IL 60677-3005
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25971
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64259716
—
KY
Enumeration date
08/15/2005
Last updated
09/25/2012
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