Individual
DR. TARA LOUISE MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-8296
Mailing address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-8296
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
9505-851
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2022
Last updated
06/04/2022
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