Individual
DR. TARA LYNN STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
641 W 9 MILE RD, SUITE A, FERNDALE, MI 48220-1779
(248) 548-7363
(248) 548-5304
Mailing address
641 W 9 MILE RD, SUITE A, FERNDALE, MI 48220-1779
(248) 548-7363
(248) 548-5304
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002295
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609008218
—
MI
Enumeration date
08/14/2009
Last updated
11/23/2021
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