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Search › Wisconsin › 207R00000X

Jack Tertadian, M.D

NPI 1689780462 · on the registry since 2006

Practice

Address
5900 S. Lake Drive
Cudahy, WI 53110
Phone
(414) 489-4190
Fax
(414) 489-4015
Organisation at this address
Aurora Medical Group, Inc.
Lakeshore Medical Clinic Llc
Aurora Health Care Metro, Inc
Aurora Health Care Metro, Inc.
Aurora Health Care Metro, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
72

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-02

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