Individual
TARA L. DALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 GENESEE ST UNIT 303, DELAFIELD, WI 53018-1410
(888) 498-5296
(888) 495-8194
Mailing address
601 GENESEE ST UNIT 303, DELAFIELD, WI 53018-1410
(888) 498-5296
(888) 495-8194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101252696
VA
207Q00000X
Family Medicine Physician
Primary
41339
WI
Other
Enumeration date
02/10/2006
Last updated
09/17/2022
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