Provider Demographics
NPI:1154326239
Name:FARR, CLAIRANN MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:CLAIRANN
Middle Name:MARIE
Last Name:FARR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1862 MCKINLEY ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-6736
Mailing Address - Country:US
Mailing Address - Phone:989-891-9939
Mailing Address - Fax:
Practice Address - Street 1:1862 MCKINLEY ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-6736
Practice Address - Country:US
Practice Address - Phone:989-891-9939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12295207W00000X
MI5101010250207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30222972Medicare ID - Type Unspecified
RE7929Medicare ID - Type Unspecified
F33726Medicare UPIN
MIM03110027Medicare PIN