Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 64382-20 | WI |
N | 208200000X | Surgeon | 4301111429 | MI |
N | 208600000X | Surgeon | 4301111429 | MI |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 4301111429 | MI |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 64382-20 | WI |
NPI | 1184889222 |
---|---|
Provider Name | Dr. Paul Chun Yung Tang |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5864 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2008 |
Last Update Date | 09/06/2017 |