Individual
CARRIE WINTERNHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
(313) 450-4512
Mailing address
9315 TELEGRAPH RD, REDFORD, MI 48239-1260
(313) 450-4500
(313) 450-4512
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451016903
MI
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669451944
—
MI
Enumeration date
09/04/2014
Last updated
04/05/2022
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