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Individual
DR. TY B CARROLL
Active
Individual
DR. TY B CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46886
WI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
46886
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007806261E
HUMANA
—
05
—
1558312942
—
WI
Enumeration date
05/12/2006
Last updated
12/02/2025
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