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Individual

MS. TARA JACQUELINE SCHAAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2020
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036-145899
IL
207W00000X
Ophthalmology Physician
4301500314
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
036-145899
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
4301500314
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
71159
MN

Other

Enumeration date
03/27/2014
Last updated
03/19/2025
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