Timothy Edward Tanke in Green Bay - Cardiovascular Disease
Timothy Edward Tanke - NPI 1780603332
Timothy Edward Tanke is a Cardiovascular Disease in Green Bay, Wisconsin. Timothy Edward Tanke practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Timothy Edward Tanke is 1780603332. The last update date is 2018-12-20.
Timothy Edward Tanke's current location address is 744 S Webster Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204333640 and fax number 9204333705. The mailing address for Timothy Edward Tanke is 744 S Webster Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Edward Tanke |
|---|---|
| Address | 744 S Webster Ave, Green Bay, Wisconsin |
| Phone Number | 9204333640 |
| Fax Number | 9204333705 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780603332 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2018-12-20 |
Provider Mailing Address Detail
| Address | 744 S Webster Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543013505 |
| Phone Number | 9204333640 |
| Fax Number | 9204333705 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 36179 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 32340100 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Timothy Edward Tanke?
The Timothy Edward Tanke has been issued the NPI (National Provider Identifier) 1780603332 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Timothy Edward Tanke is located?
The Timothy Edward Tanke is situated at the following address: 744 S Webster Ave, Green Bay, WI, 543013505.
What is the area of specialization for Timothy Edward Tanke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Timothy Edward Tanke is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this area of expertise is 207Rc0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780603332 to Timothy Edward Tanke?
The Centers for Medicare & Medicaid Services originally issued the 1780603332 to Timothy Edward Tanke on 2006-07-18.
When was the information related to Timothy Edward Tanke most recently updated or refreshed?
The details pertaining to the Timothy Edward Tanke, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-12-20.
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