Individual
CARLY TARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19401 HUBBARD DRIVE, DEARBORN, MI 48126-2699
(313) 982-8100
Mailing address
5333 MCAULEY DR, YPSILANTI, MI 48197-1014
(734) 712-6076
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301095802
MI
Other
Enumeration date
12/20/2008
Last updated
07/25/2019
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