Provider Demographics
NPI:1497769855
Name:TAUSCHECK, ALOYS LOUIS JR (MD,JD)
Entity Type:Individual
Prefix:DR
First Name:ALOYS
Middle Name:LOUIS
Last Name:TAUSCHECK
Suffix:JR
Gender:M
Credentials:MD,JD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1414 N TAYLOR DR
Mailing Address - Street 2:SUITE 144
Mailing Address - City:SHEBOYGAN
Mailing Address - State:WI
Mailing Address - Zip Code:53081-1988
Mailing Address - Country:US
Mailing Address - Phone:920-457-3376
Mailing Address - Fax:920-458-6510
Practice Address - Street 1:1414 N TAYLOR DR
Practice Address - Street 2:SUITE 144
Practice Address - City:SHEBOYGAN
Practice Address - State:WI
Practice Address - Zip Code:53081-1988
Practice Address - Country:US
Practice Address - Phone:920-457-3376
Practice Address - Fax:920-458-6510
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI23885-020207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI32893900Medicaid
WI000060275OtherPTAN
WI000060275OtherPTAN