Wilson H Luy Tan, MD Ltd
NPI #1134314362 in Beaver Dam, Wisconsin
Provider Information
- NPI Number
- 1134314362
- Entity Type
- Organization
- Organization Name
- Wilson H Luy Tan, MD Ltd
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Sep 11, 2007
- Last Updated
- Sep 11, 2007
Practice Location
- Address
- 705 S UNIVERSITY AVE
- Address 2
- SUITE 380
- City
- Beaver Dam
- State
- Wisconsin
- ZIP Code
- 53916-3053
- Phone
- (920) 887-3460
Authorized Official
- Name
- WILSON H LUY TAN, M.D.
- Title
- PRESIDENT
- Phone
- (920) 887-3460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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