Individual
DANIELLE LECLAIR CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
50 W BIG BEAVER RD STE 190, BLOOMFIELD HILLS, MI 48304-3911
(248) 997-7000
Mailing address
1220 N ALEXANDER AVE, ROYAL OAK, MI 48067-3631
(248) 872-8862
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008903
MI
Other
Enumeration date
10/29/2018
Last updated
08/28/2019
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