Individual
KEVIN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 WIND RIDGE DR, WAUSAU, WI 54401-4149
(715) 675-3391
(715) 675-4253
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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