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Individual

DR. TAI TANG TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036119213
IL
207P00000X
Emergency Medicine Physician
Primary
65379
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036119213
IL
05
100057214
WI
01
336-080405
IL CONTROLLED SUBSTANCE L
IL
01
51454
CT
CT
Enumeration date
01/10/2008
Last updated
06/26/2025
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