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NPI 1205500790

IndividualActive

Taneisha Tate

NPI 1205500790 · Research Clinic/Center · Milwaukee, WI

Provider details

NPI number: 1205500790
Entity type: Individual
Primary specialty: Research Clinic/CenterAmbulatory Health Care Facilities
Sex: Female
Sole proprietor: Yes

Practice location

2503 N 37th St

Milwaukee, WI 53210-3047

Phone: (262) 744-8648

More WI providers

Mailing address

2503 N 37th St

Milwaukee, WI 53210-3047

Registry dates

Enumerated: 2021-08-06
Last updated: 2021-08-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Taneisha Tate — NPI 1205500790, Milwaukee, WI | NPI Central