Individual
WILLIAM CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50430 SCHOOL HOUSE RD, CANTON, MI 48187-5910
(734) 589-7974
Mailing address
50430 SCHOOL HOUSE RD, CANTON, MI 48187-5910
(734) 589-7974
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282334
—
MI
Enumeration date
11/05/2019
Last updated
11/05/2019
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