Individual
CARRIE L DUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19229 MACK AVE STE 24, GROSSE POINTE WOODS, MI 48236-2857
(313) 884-5522
(313) 884-5521
Mailing address
19229 MACK AVE STE 24, GROSSE POINTE WOODS, MI 48236-2857
(313) 884-5522
(313) 884-5521
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
CD084925
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0824230
BCN
MI
01
—
0H208910
BLUE CROSS
MI
05
—
4751900
—
MI
05
—
4751928
—
MI
Enumeration date
07/28/2006
Last updated
03/26/2014
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