Dr EGBERT A TAN is a male medical professional, specializing in Psychiatry. He graduated in 1976.
COUNTY OF BROWN
3150 GERSHWIN DR
GREEN BAY
WI
543114328
Tel: 9203914700
| Npi | 1245427111 |
| Pac Id | 9537330618 |
| Professional Enrollment Id | I20130827000937 |
| Last Name | TAN |
| First Name | EGBERT |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1976 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialty 1 | ADDICTION MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | ADDICTION MEDICINE |
| Organization Legal Name | COUNTY OF BROWN |
| Group Practice Pac Id | 1355435900 |
| Number Of Group Practice Members | 11 |
| Line 1 Street Address | 3150 GERSHWIN DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GREEN BAY |
| State | WI |
| Zip Code | 543114328 |
| Phone Number | 9203914700 |
| Hospital Affiliation Ccn 1 | 520049 |
| Hospital Affiliation Lbn 1 | BELLIN MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | M |
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