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

TARA LYNN BLANK, PA-C

Active

TARA LYNN BLANK, PA-C is a Physician Assistant healthcare provider located in PORT HURON, Michigan. NPI 1841266053 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PORT HURON, MI

Registration Details

NPI Number
1841266053
Provider Type
Individual
Gender
Female
NPI Issued
Feb 27, 2006 (20.472013710019 yrs)
Last Updated
Apr 9, 2010
License
5601003675 (MI)

Practice Information

Address
1231 PINE GROVE AVE
SUITE 2A
PORT HURON, MI, 480603500
Browse MI providers · Browse ZIP 48060
Phone
8109828742
Fax
8109848291
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PORT HURON, MI

Name Credential NPI
AMY K COLLINS P.A.-C 1417959487
MR. PATRICK JOHN GEML PA-C, MPAS 1770555062
BRENDA L LEVERENZ PA-C 1437125408
DANIEL DILLINGHAM 1639146194
MR. CHARLES REGAN PA-C, ATC 1386609824
KIM FARRIS PA-C 1518912658
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.