Individual
TARA LYNN KAUTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2006 HOGBACK RD STE 5A, ANN ARBOR, MI 48105-9750
(734) 263-2417
Mailing address
3911 ROCHESTER RD, TROY, MI 48083-5246
(248) 689-7740
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704239859
MI
Other
Enumeration date
01/24/2008
Last updated
01/17/2025
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