Tan, Djerrick Cu

Tan, Djerrick Cu is an individual health care provider with primary practice located at 10945 N Port Washington Rd Ste 201 , Mequon WI 53092-5078. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tan, Djerrick Cu can be contacted via phone (262) 292-3151.

Contact Information

Primary practice address
10945 N Port Washington Rd Ste 201 Mequon WI 53092-5078
Phone: (262) 292-3151
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 1025471 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD20361 Rhode Island
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 47802 Wisconsin

Profile Details

NPI number 1124002654
LBN Legal business name Tan, Djerrick Cu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Feb 23rd, 2026 - about 8 months 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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