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1689780462
JACK AVAK TERTADIAN
CUDAHY, WI
NPI
1689780462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 34176-020)
Enumeration Date
2006-08-22
Last Update Date
2024-08-02
Business Address
Dr. JACK AVAK TERTADIAN M.D.
5900 S. LAKE DRIVE
CUDAHY, WI 53110
Phone number: 414-489-4190
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Mailing Address
Dr. JACK AVAK TERTADIAN M.D.
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250
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