MEDICARE: DR. CLAIRANN MARIE FARR D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	12295	NH
2	207W00000X	Ophthalmology Physician	5101010250	MI

General Provider Information

NPI Number	:	1154326239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAIRANN MARIE FARR D.O.

Provider Business Mailing Address
First Line	:	1862 MCKINLEY ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-6736
Country	:	US
Telephone Number	:	989-891-9939
Fax Number	:

Provider Business Practice Location Address
First Line	:	1862 MCKINLEY ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-6736
Country	:	US
Telephone Number	:	989-891-9939
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	04/08/2011

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