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

Tara Elizabeth Kristock, CPNP-PC

Individual provider Pediatrics Physician · NPI 1508358896

Tara Elizabeth Kristock, CPNP-PC is a Pediatrics Physician in Bloomfield Hills, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

71 E Long Lake Rd
Bloomfield Hills, MI 48304-9996
Phone: (248) 533-0000
Fax: (248) 385-5541
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4704300214 (MI)

Record details

NPI number1508358896
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESJune 1, 2018

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