Individual provider · Type 1 NPI

Djerrick Cu Tan, MD

Diagnostic Radiology Physician · Mequon, WI

NPI number 1124002654 Active

Practice location

10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078

Call (262) 292-3151 Map

Other practice locations

  • 211 Park St, Attleboro, MA 02703-3143 · (508) 222-5200
  • 450 Veterans Memorial Pkwy Bldg 2, East Providence, RI 02914-5300 · (401) 435-3041

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X1025471 (MA)
Diagnostic Radiology Physician 2085R0202XMD20361 (RI)
Diagnostic Radiology Physician Primary 2085R0202X47802 (WI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

42 other providers at this address

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About NPI 1124002654

Djerrick Cu Tan, MD's National Provider Identifier is 1124002654, issued on Nov 29, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mequon, WI. The record was last updated on Feb 23, 2026.