Breslin, Tara M

Breslin, Tara M is an individual health care provider with primary practice located at 5320 Elliott Dr Suite 203, Ypsilanti MI 48197-1032. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Breslin, Tara M can be contacted via phone (734) 475-4177.

Contact Information

Primary practice address
5320 Elliott Dr Suite 203 Ypsilanti MI 48197-1032
Phone: (734) 475-4177
Fax: (734) 712-1744
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 42352 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301089319 Michigan
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 4301089319 Michigan
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 036.131860 Illinois

Profile Details

NPI number 1922062538
LBN Legal business name Breslin, Tara M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jun 2nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922062538 NPPES
Wisconsin MEDICAID 33341100

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