TARA CAUDILL-DEATON

Family Medicine

Active Individual
NPI: 1154380129

Practice Address

1200 W 12 MILE RD
Madison Heights, MI 48071

Phone: (248) 543-0600

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 4301080294 (MI)

Frequently Asked Questions

NPI 1154380129 is the National Provider Identifier for TARA CAUDILL-DEATON, a Family Medicine provider located in Madison Heights, MI. This NPI was enumerated on March 20, 2006.
TARA CAUDILL-DEATON practices at 1200 W 12 MILE RD, Madison Heights, MI 48071.

Quick Facts

NPI
1154380129
Type
Individual
Enumerated
Mar 20, 2006
Last Updated
Mar 6, 2008

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