Individual
DR. RONNY BAN WEI TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 TULANE AVENUE, TULANE UNIVERSITY MEDICAL CLINIC (UROLOGY/SUBFERTILITY), NEW ORLEANS, LA 70112
(504) 615-6542
Mailing address
204 S SARATOGA ST APT 627, NEW ORLEANS, LA 70112-4826
(504) 615-6542
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/22/2013
Last updated
07/25/2013
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