Individual
MARI PAZ CASTANEDO TARDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 FRANK LLOYD WRIGHT DRIVE, LOBBY H SUITE 2350, ANN ARBOR, MI 48105-9484
(734) 936-4054
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
16782
NH
207N00000X
Dermatology Physician
Primary
4301108544
MI
Other
Enumeration date
05/09/2010
Last updated
08/04/2015
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