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Individual

YUANYUAN TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8000
(765) 838-7420
Mailing address
2600 FERRY ST, LAFAYETTE, IN 47904-3055
(765) 448-8100

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01091303A
IN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/27/2020
Last updated
04/02/2025
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