DR. Michael Charles Tankovich, OD

NPI #1659305191 in Brookfield, Wisconsin

Provider Information

NPI Number: 1659305191
Entity Type: Individual
Name: DR. Michael Charles Tankovich, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3540-C NORTH 126TH STREET
City: Brookfield
State: Wisconsin
ZIP Code: 53005-2403
Phone: (262) 790-9559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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