Individual
DR. TONY TANG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
709 SPRING VALLEY RD, BURLINGTON, WI 53105
(262) 767-6020
Mailing address
709 SPRING VALLEY RD, BURLINGTON, WI 53105-7614
(262) 767-6020
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
5101019503
MI
208800000X
Urology Physician
Primary
69317
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100077217
—
WI
Enumeration date
06/20/2011
Last updated
11/30/2021
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