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Individual

DR. TARA L WALKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN, ACNP-BC

Contact information

Practice address
20905 GREENFIELD RD, SUITE 406, SOUTHFIELD, MI 48075-5360
(248) 557-0507
Mailing address
37267 ASPEN DR, FARMINGTON HILLS, MI 48335-5479
(313) 641-7166

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704213900
MI

Other

Enumeration date
03/17/2014
Last updated
03/17/2014
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