Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara L. Passow MD Inc

Organization Specialist · NPI 1992998884

Tara L. Passow MD Inc is a Specialist in Beaver Dam, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

700 Hillcrest Ct
Beaver Dam, WI 53916-2418
Phone: (920) 885-2622
Fax: (920) 885-4419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 24736 (WI)

Record details

NPI number1992998884
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Passow — President · (920) 885-2622
NPI enumeratedAugust 23, 2007
Last updated in NPPESMarch 26, 2009
Mailing address700 Hillcrest Ct, Beaver Dam, WI 53916-2418

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