Tara Passow, M. D.

NPI #1780619163 in Beaver Dam, Wisconsin

Provider Information

NPI Number: 1780619163
Entity Type: Individual
Name: Tara Passow, M. D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M. D.
Enumeration Date: Jul 12, 2006
Last Updated: Mar 20, 2012

Practice Location

Address: 700 HILLCREST CT
City: Beaver Dam
State: Wisconsin
ZIP Code: 53916-2418
Phone: (920) 885-2622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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