DR. Enrico Tan, D.P.M.

NPI #1346260429 in Athens, Ohio

Provider Information

NPI Number: 1346260429
Entity Type: Individual
Name: DR. Enrico Tan, D.P.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: Jul 20, 2006
Last Updated: Feb 14, 2011

Practice Location

Address: 410 E STATE ST
City: Athens
State: Ohio
ZIP Code: 45701-1819
Phone: (740) 592-2366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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