IndividualActive
Justinn Tanem
NPI 1780950964 · Pediatric Anesthesiology Physician · Milwaukee, WI
Provider details
- NPI number
- 1780950964
- Entity type
- Individual
- Primary specialty
- Pediatric Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 61773 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone: (414) 266-3560
Fax: (414) 266-6092
Approximate (ZIP-level) locationGet directions
Mailing address
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Additional practice locations (2)
- 9200 W Wisconsin AveMilwaukee, WI 53226-3522Phone: (414) 805-8700Fax: (414) 259-1522
- 8345 Gridley AveWauwatosa, WI 53213-3041Phone: (608) 698-3100
Registry dates
- Enumerated
- 2012-04-01
- Last updated
- 2024-04-23
- Certified
- 2024-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.