Individual
JANET TAN CHUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9555 76TH STREET, PLEASANT PRAIRIE, WI 53158
(262) 577-8300
(262) 577-8414
Mailing address
9555 76TH STREET, PLEASANT PRAIRIE, WI 53158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37322
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080171615
MEDICARE RR
—
05
—
32300600
—
WI
Enumeration date
07/11/2006
Last updated
12/03/2018
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