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Individual

SHOGI-TEN TSAI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
430 E DIVISION ST, SUITE 4, FOND DU LAC, WI 54935-4560
(920) 926-2300
Mailing address
420 E DIVISION ST, SUITE 4, FOND DU LAC, WI 54935-4560
(920) 926-8340

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19334
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31074600
WI
01
P00084382
RAILROAD MEDICARE
WI
Enumeration date
12/15/2005
Last updated
07/08/2007
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