Tanke, Timothy Edward

Tanke, Timothy Edward is an individual health care provider with primary practice located at 744 S Webster Ave 2Nd Fl, Green Bay WI 54301-3505. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Tanke, Timothy Edward can be contacted via phone (920) 433-3640.

Contact Information

Primary practice address
744 S Webster Ave 2Nd Fl Green Bay WI 54301-3505
Phone: (920) 433-3640
Fax: (920) 433-3705
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 36179-20 Wisconsin
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 36179 Wisconsin

Profile Details

NPI number 1780603332
LBN Legal business name Tanke, Timothy Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 20th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780603332 NPPES
Wisconsin MEDICAID 32340100

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