Dr. Djerrick Cu Tan, M.D.
Diagnostic Radiology
NPI: 1124002654 Wisconsin
76/100
Good — Trusted
Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.
Score Breakdown
License Status15/30
unknown
Disciplinary Record25/25
0 action(s)
Board Certification15/20
Not verified
Years in Practice15/15
21 years
Data Freshness6/10
Updated 128 days ago
License Status
FloridaActive
License #
161336
Issued
Mar 13, 2023
Expires
Jan 31, 2027
Practice Information
- Address
- 10945 N PORT WASHINGTON RD STE 201
- MEQUON, WI 53092
- Phone
- (262) 292-3151
- In Practice Since
- November 29, 2005
- Data Last Updated
- February 23, 2026
NPI Details
- NPI Number
- 1124002654
- Status
- Active
- Taxonomy Code
- 2085R0202X
Data sourced from CMS NPPES public database. Last verified: February 23, 2026.
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