KENNETH SHU-WEN TAN

COLUMBIA, MO
NPI1699039594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2012020842)
Enumeration Date2012-06-26
Last Update Date2012-06-26
Business Address
-- KENNETH SHU-WEN TAN M.D.
3217 S PROVIDENCE RD
COLUMBIA, MO 65203-3639
Phone number: 573-884-7733
Mailing Address
-- KENNETH SHU-WEN TAN M.D.
3217 S PROVIDENCE RD
COLUMBIA, MO 65203-3639
Phone number: 573-884-7733
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