Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justinn Tanem

Individual provider Pediatric Anesthesiology Physician · NPI 1780950964

Justinn Tanem is an Anesthesiology in Milwaukee, Wisconsin. Graduated from Medical College of Wisconsin in 2012, 14 years ago. Practices with Childrens Specialty Group Inc, a 213-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2012
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Practice location Address checks out

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone: (414) 266-3560
Fax: (414) 266-6092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 — (414) 805-8700
  • 8345 Gridley Ave, Wauwatosa, WI 53213-3041 — (608) 698-3100

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X · Licence 61773 (WI)

Record details

NPI number1780950964
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2012
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024
Mailing address9000 W Wisconsin Ave, Milwaukee, WI 53226-4874

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2012 (14 years in practice)
Group practice Childrens Specialty Group Inc — 213 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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