NPI 1124361639

Tatyana Taranukha, MD

Practitioner Gastroenterology Physician Summit, WI

Practice location

Address: 36500 Aurora Dr, Summit, WI 53066-4899
Phone: (262) 434-1000
Fax: (262) 434-5050
Mailing address: PO Box 735044, Chicago, IL 60673-5044

Registered specialties (2)

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X Licence 63061 (WI)

Other Internal Medicine providers in Wisconsin →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1124361639
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2013
Record last updated: 19 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.