NPI 1538147616

Jack R Tenge, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Wauwatosa, WI

Practice location

Address: 11020 W Plank CT Suite 100, Wauwatosa, WI 53226-3279
Phone: (414) 256-5587
Fax: (414) 476-2976
Mailing address: 14275 Midway Rd Suite 400, Addison, TX 75001-3614

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 19340 (WI)

Other Pathology providers in Wisconsin →

Registry record

NPI: 1538147616
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2006
Record last updated: 1 May 2015

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.