Individual
ALEXIS CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2000
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 392-0640
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
06/26/2020
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