Search › Michigan › 363A00000X
Tara Fishback, PA-C
NPI 1528400629 · on the registry since 2013
Practice
- Address
- 1221 Sixth St Ste 300
Traverse City, MI 49684 - Phone
- (231) 392-0640
- Fax
- (231) 392-0643
- Organisation at this address
- Munson Medical Center
Munson Medical Center
Munson Medical Center
Paul F. Davis, M.D., P.L.C.
J. Eric Zimmerman, M.D., P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 75
Additional practice sites
- 250 E Dunlap Ave, Phoenix, AZ
- 50 Union St, Ellsworth, ME
- 498 Essex St Ste 105, Bangor, ME
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
363AM0700X
363AM0700X - Licence states on file
- AZ, WI, ME, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-19
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