EGBERT AUNG KYAING TAN

GREEN BAY, WI
NPI1245427111
Professional NameEGBERT A TAN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WI  28445-20)
Additional Taxonomies2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY  183140)
Enumeration Date2007-09-25
Last Update Date2025-10-09
Business Address
EGBERT AUNG KYAING TAN
2640 W POINT RD
GREEN BAY, WI 54304-1344
Phone number: 920-490-3790
Mailing Address
EGBERT AUNG KYAING TAN
899 POST RD
SCARSDALE, NY 10583-5517
Phone number: 914-725-5442