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Tatiana Harr

Physician Assistant in Pontiac, MI. Individual provider (NPI-1).

NPI number1255001020
StatusActive
Last updated in NPPESApr 28, 2022

Details

NPI
1255001020
Entity type
Individual (NPI-1)
Name
Tatiana Harr
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 14, 2021
Certification date
Apr 28, 2022
Last updated
Apr 28, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant5601010802MIYes

Practice location

44405 Woodward Ave Fl 4
Pontiac, MI 48341-5023

Phone 248-858-6762

Mailing address

44405 Woodward Ave Fl 4
Pontiac, MI 48341-5023

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