Provider Demographics
NPI:1467662080
Name:TIGRANI, DEAN-YAR (MD)
Entity Type:Individual
Prefix:
First Name:DEAN-YAR
Middle Name:
Last Name:TIGRANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 W. LINCOLN AVE
Mailing Address - Street 2:GREAT LAKES PATHOLOGISTS
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-0901
Mailing Address - Country:US
Mailing Address - Phone:414-328-7950
Mailing Address - Fax:414-328-8505
Practice Address - Street 1:8901 W. LINCOLN AVE
Practice Address - Street 2:GREAT LAKES PATHOLOGISTS
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53227-0901
Practice Address - Country:US
Practice Address - Phone:414-328-7950
Practice Address - Fax:414-328-8505
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA37602207ZP0102X
WI52479-20207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology