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

Tara Passow, MD

Individual provider Dermatology Physician · NPI 1780619163

Tara Passow, MD is a Dermatology Physician in Beaver Dam, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

700 Hillcrest Ct
Beaver Dam, WI 53916-2418
Phone: (920) 885-2622
Fax: (920) 885-4419
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 24736 (WI)

Record details

NPI number1780619163
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESMarch 20, 2012
Mailing address801 York St, Manitowoc, WI 54220-4630

Other providers in Beaver Dam