Individual
DR. PAUL STANLEY TARASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
645 S ROGERS ST STE A, BLOOMINGTON, IN 47403-2353
(812) 269-5092
Mailing address
645 S ROGERS ST STE A, BLOOMINGTON, IN 47403-2353
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11015002A
IN
Other
Enumeration date
07/21/2009
Last updated
08/07/2023
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