Tertadian, Jack Avak
Tertadian, Jack Avak is an individual health care provider with primary practice located at 5900 S. Lake Drive , Cudahy WI 53110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tertadian, Jack Avak can be contacted via phone (414) 489-4190.Contact Information
Primary practice address
5900 S. Lake Drive
Cudahy WI 53110
Phone: (414) 489-4190
Fax: (414) 489-4015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34176-020 | Wisconsin |
Profile Details
| NPI number | 1689780462 |
|---|---|
| LBN Legal business name | Tertadian, Jack Avak |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Dec 22nd, 2021 - about 5 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.
Popular Providers
-
Sanvanson, Christian John
5900 S Lake Dr , Cudahy WI 53110-3171 -
Felsenthal, Susan
5900 S Lake Dr , Cudahy WI 53110 -
Rai, Nanak Singh
5900 S Lake Dr , Cudahy WI 53110-3171 -
Shah, Meenaxi
5900 S Lake Drive , Cudahy WI 53110-3171 -
Green, Shari B
1010 Northern Blvd Ste 110, Great Neck NY 11021-5306 -
Lamnari, Anna M
3533 E Ramsey Avenue , Cudahy WI 53110-3009 -
Nunag, Armando
5900 S Lake Dr , Cudahy WI 53110-3171 -
Nunag, Michael
5900 S Lake Dr 2Nd Floor, Cudahy WI 53110-3171