DR. Jack Avak Tertadian, M.D.

NPI #1689780462 in Cudahy, Wisconsin

Provider Information

NPI Number: 1689780462
Entity Type: Individual
Name: DR. Jack Avak Tertadian, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Aug 22, 2006
Last Updated: Aug 2, 2024

Practice Location

Address: 5900 S. LAKE DRIVE
City: Cudahy
State: Wisconsin
ZIP Code: 53110
Phone: (414) 489-4190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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