Male or Other

Dr. Wilson H. Luy Tan MD

Neurology Physician in Oshkosh, WI(View on Map)

Full Name

Dr. Wilson Haw Luy Tan MD

NPI Number

1295803427

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/04/2006

Specialties

(Taxonomies)

Code

2084N0400X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

28716020

Contact
Information

Purpose

Mailing
Location

Address

855 N WESTHAVEN DR
855 N WESTHAVEN DR

City

Oshkosh
Oshkosh

State

WI
WI

Postal Code

54904-7668
54904-7668

Country

US
US

Telephone Number

(920) 303-8700
(920) 303-8700

Identifiers

Identifier

544905
1295803427
391845223

Identifier State

Unknown
WI
Unknown

Identifier Issuer

DEAN CARE HMO
Unknown
UNITY HMO

Health Information Exchange

Endpoint Type

FHIR
DIRECT

Endpoint

https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
wluytan177008@direct.myadvocateaurora.org

Endpoint Description

Unknown
Unknown

Use

Unknown
Unknown

Content Type

Unknown
Unknown

Affiliation

N
N

Endpoint Location

855 N Westhaven DrOshkosh, WI549047668US
855 N Westhaven DrOshkosh, WI549047668US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/19/2021

Provider Address

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