DJERRICK CU TAN

MEQUON, WI
NPI1124002654
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: WI  47802)
Enumeration Date2005-11-29
Last Update Date2023-11-17
Business Address
DJERRICK CU TAN M.D.
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092-5078
Phone number: 262-292-3151
Mailing Address
DJERRICK CU TAN M.D.
10945 N PORT WASHINGTON RD STE 201
MEQUON, WI 53092-5078
Phone number: 262-292-3151
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