Individual
KAREN M VAN TASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 CROSSGATES BLVD, BRANDON, MS 39042-2601
(601) 824-8586
Mailing address
130 SOUTHPOINTE DR # D, BYRAM, MS 39272-5565
(601) 346-5044
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19017
MS
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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