| Tara Passow, M D | |
|
700 Hillcrest Ct, Beaver Dam, WI 53916-2418 | |
| (920) 885-2622 | |
| (920) 885-4419 |
| Full Name | Tara Passow |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 700 Hillcrest Ct, Beaver Dam, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780619163 | NPI | - | NPPES |
| 30631900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 24736 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Passow, M D 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 683-5278 | Tara Passow, M D 700 Hillcrest Ct, Beaver Dam, WI 53916-2418 Ph: (920) 885-2622 |
Kirsten Carly Krohn, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-7181 | |
Dr. Kim Michelle Albridge, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 109 Warren St Ste 1, Beaver Dam, WI 53916 Phone: 920-885-2622 Fax: 920-885-4419 |