Tara Elizabeth Kristock
CPNP-PC | Pediatrics | Female
Tara Elizabeth Kristock, CPNP-PC is a Bloomfield Hills, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Tara Elizabeth Kristock is
71 E Long Lake Rd, Bloomfield Hills, Michigan - 48304-9996. She can be contacted on phone at
248-533-0000 and fax number 248-385-5541.
Tara Elizabeth Kristock is a sole proprietor of her business.
NPI number (Unique professional ID) for Tara Elizabeth Kristock is
1508358896 which was assigned by NPPES on 01 Jun, 2018 and it was last updated on 01 Jun, 2018.
Tara Elizabeth Kristock license number is
4704300214 for Pediatrics (208000000X) in Michigan.
Tara Elizabeth Kristock is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Tara Elizabeth Kristock basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Tara Elizabeth Kristock |
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| Credential : | CPNP-PC |
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| Gender : | Female |
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Business Address:
Tara Elizabeth Kristock address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 71 E Long Lake Rd
Bloomfield Hills, MI, 48304-9996
United States |
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| Phone Number : | 248-533-0000 |
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| Fax Number : | 248-385-5541 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1508358896 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Jun, 2018 |
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| Last Updated On : | 01 Jun, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tara Elizabeth Kristock are as mentioned. Primary taxonomy code for Tara Elizabeth Kristock, CPNP-PC is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4704300214 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Tara Elizabeth Kristock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4704300214 | Other | MI | DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BOARD OF NURSING |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 71 E Long Lake Rd
Bloomfield Hills, MI, 48304-9996
United States |
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| Phone Number : | 248-533-0000 |
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| Fax Number : | 248-385-5541 |
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Business Location:
Patients can refer following map for directions to
Tara Elizabeth Kristock practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.