Individual
DR. TARA LYNN MCMICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
424 W STATE HIGHWAY 5, WACONIA, MN 55387-1723
(952) 442-4461
Mailing address
424 W STATE HIGHWAY 5, WACONIA, MN 55387-1723
(952) 442-4461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49809
MN
Other
Enumeration date
02/15/2009
Last updated
08/20/2012
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