Tara Deters, PA-C

NPI 1245330521 · on the registry since 2006

Practice

Address: 7470 Brockway Rd
Brockway, MI 48097
Phone: (810) 387-3211
Fax: (810) 387-2279
Organisation at this address: Detroit Vamc
Family First Health Care, Yale, P.L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan