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Dr. Gubert Lee Tan, MD
Neurology Physician in Mansfield, Ohio
NPI 1285621490

Gubert Lee Tan is a Neurology Physician based in Dublin, OH and is specialized in Neurology. Gubert Lee Tan practices in Mansfield, OH and has the professional credentials of MD. The NPI Number for Gubert Lee Tan is 1285621490 and holds a License No. 036088453 (Ohio).

The current practice location address for Gubert Lee Tan is 222 Marion Ave, Mansfield, OH and can be reached out via phone at 419-526-1964 and via fax at 419-526-0012.

Location: 222 Marion Ave, Mansfield, OH, 43016-4144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285621490
Provider Name
Gubert Lee Tan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
222 Marion Ave, Mansfield, OH, 43016-4144
Phone Number
419-526-1964
Fax Number
419-526-0012
Provider Enumeration Date
10/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2072813 05 OH
institution
Provider Business Practice Location Address Details
Address
222 Marion Ave
City
Mansfield
State
Ohio
Zip
44903-2138
Phone Number
419-526-1964
Fax Number
419-526-0012
person
Provider Business Mailing Address Details
Address
222 Marion Ave
City
Mansfield
State
Ohio
Zip
44903-2138
Phone Number
419-526-1964
Fax Number
419-526-0012
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
036088453 (Illinois)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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