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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA ELIZABETH KRISTOCK, CPNP-PC

Active

TARA ELIZABETH KRISTOCK, CPNP-PC is a Pediatrics healthcare provider located in BLOOMFIELD HILLS, Michigan. NPI 1508358896 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · BLOOMFIELD HILLS, MI

Registration Details

NPI Number
1508358896
Provider Type
Individual
Gender
Female
NPI Issued
Jun 1, 2018 (8.1586408280595 yrs)
Last Updated
Jun 1, 2018
License
4704300214 (MI)

Practice Information

Address
71 E LONG LAKE RD
BLOOMFIELD HILLS, MI, 483049996
Browse MI providers · Browse ZIP 48304
Phone
2485330000
Fax
2483855541
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in BLOOMFIELD HILLS, MI

Name Credential NPI
DR. SONJA M EARLES MD 1437157955
DR. SHEILA RAO MD 1174521538
DR. MAUREEN A KELLY MD 1609874064
DR. STANFORD ALVIN SINGER MD 1215937925
DR. FIDELINA NITURA BARACEROS MD 1841234622
DR. ALITA RENE RICE MD 1285678730
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.