Individual
THOMAS TARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
30200 TELEGRAPH RD, SUITE 220, BINGHAM FARMS, MI 48025-4502
(248) 258-5058
Mailing address
5804 STILLWATER LN, MIDLAND, MI 48642-7036
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101011508
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11290267
CAQH
MI
Enumeration date
06/12/2006
Last updated
08/13/2007
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