person
Kenneth P Tarr, DO
Diagnostic Radiology Physician in Dearborn, Michigan
NPI 1902834070

Kenneth P Tarr is a Diagnostic Radiology Physician based in Long Beach, MI and is specialized in Diagnostic Radiology. Kenneth P Tarr practices in Dearborn, MI and has the professional credentials of DO. The NPI Number for Kenneth P Tarr is 1902834070 and holds a License No. 5101008688 (Michigan).

The current practice location address for Kenneth P Tarr is 4700 Schaefer Rd., Dearborn, MI and can be reached out via phone at 313-581-2600 and via fax at 313-581-0228.

Location: 4700 Schaefer Rd., Dearborn, MI, 90802-4317
person
Provider Profile Details
NPI Number
1902834070
Provider Name
Kenneth P Tarr
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4700 Schaefer Rd., Dearborn, MI, 90802-4317
Phone Number
313-581-2600
Fax Number
313-581-0228
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA5318 01 MI MEDICARE RR GROUP PIN
1876132 05 MI
300073227 01 MI RRMC
3156310454 01 MI BCBS PIN #
1876123 05 MI
310D460020 01 MI BCBS GROUP PIN
institution
Provider Business Practice Location Address Details
Address
4700 Schaefer Rd.
City
State
Zip
48126-3698
Phone Number
313-581-2600
Fax Number
313-581-0228
person
Provider Business Mailing Address Details
Address
4700 Schaefer Rd.
City
State
Zip
48126-3698
Phone Number
313-581-2600
Fax Number
313-581-0228
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
5101008688 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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