Individual
LUIS Y TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
762 EASTLAND AVE, AKRON, OH 44305
(330) 794-1279
(330) 794-1902
Mailing address
762 EASTLAND AVE, AKRON, OH 44305
(330) 794-1279
(330) 794-1902
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35034421
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0209643
—
OH
Enumeration date
05/12/2006
Last updated
01/27/2015
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