JACK AVAK TERTADIAN

CUDAHY, WI
NPI1689780462
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WI  34176-020)
Enumeration Date2006-08-22
Last Update Date2024-08-02
Business Address
Dr. JACK AVAK TERTADIAN M.D.
5900 S. LAKE DRIVE
CUDAHY, WI 53110
Phone number: 414-489-4190
Mailing Address
Dr. JACK AVAK TERTADIAN M.D.
PO BOX 735044
CHICAGO, IL 60673-5044
Phone number: 800-326-2250