Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA PASSOW, M. D.
ActiveTARA PASSOW, M. D. is a Dermatology healthcare provider located in BEAVER DAM, Wisconsin. NPI 1780619163 is currently active in the NPPES registry. Verify at CMS.
Dermatology · BEAVER DAM, WI
Registration Details
- NPI Number
- 1780619163
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2006 (19.908421137957 yrs)
- Last Updated
- Mar 20, 2012
- License
-
24736 (WI)
Practice Information
- Address
-
700 HILLCREST CTBEAVER DAM, WI, 539162418Browse WI providers · Browse ZIP 53916
- Phone
- 9208852622
- Fax
- 9208854419
- Primary Specialty
-
Dermatology
207N00000X
Other Dermatology Providers in BEAVER DAM, WI
| Name | Credential | NPI |
|---|---|---|
| DR. KIM MICHELLE ALBRIDGE | MD | 1699842310 |
| KIRSTEN CARLY KROHN | M.D. | 1316365737 |
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.