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Djerrick Tan, M.D
NPI 1124002654 · on the registry since 2005
Practice
- Address
- 10945 N Port Washington Rd Ste 201
Mequon, WI 53092 - Phone
- (262) 292-3151
- Organisation at this address
- Ozaukee Surgery Center, Llc
Wisconsin Michigan Physicians, Sc
Precision Radiology - Illinois Ltd
Wisconsin Radiology Specialists, S C
Milwaukee Ear Nose Throat Clinic LimitedInferred from a shared address, not stated in the registry. - Clinicians at this address
- 51
Additional practice sites
- 211 Park St, Attleboro, MA
- 450 Veterans Memorial Pkwy Bldg 2, East Providence, RI
Registry record
- Primary taxonomy
- Diagnostic Radiology Physician
2085R0202X
- Also registered as
- Diagnostic Radiology Physician
Diagnostic Radiology Physician - Licence states on file
- MA, RI, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin