Dr. Jack Avak Tertadian, MD
Dr. Jack Avak Tertadian, MD is an Internal Medicine in Cudahy, Wisconsin. Graduated from Medical College of Wisconsin in 1990, 36 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 36
- Trained at
- Medical College of Wisconsin
- Licensed in
- WI
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5900 S Lake DrCudahy, WI 53110
Phone: (414) 489-4190
Fax: (414) 489-4015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 34176-020 (WI) |
|---|
Record details
| NPI number | 1689780462 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 22, 2006 |
| Last updated in NPPES | August 2, 2024 |
| Certification date | August 2, 2024 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | MEDICAL COLLEGE OF WISCONSIN |
| Graduated | 1990 (36 years in practice) |
| Group practice | Lakeshore Medical Clinic Llc — 379 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Cudahy
-
Armando Nunag, MD
5900 S Lake Dr, Cudahy, WI 53110-3171 · (414) 489-4190
-
Michael Nunag, DO
5900 S Lake Dr 2nd Fl, Cudahy, WI 53110-3171 · (414) 489-9050
-
Meenaxi Shah, MD
5900 S Lake Dr, Cudahy, WI 53110-3171 · (414) 489-4190
-
Dr. Javed A Sheikh
5900 S Lake Dr, Cudahy, WI 53110-3171 · (414) 489-9000
-
Wheaton Franciscan Medical Group
3533 E Ramsey Ave, Cudahy, WI 53110-3009 · (414) 769-6600