Individual
CAROLYN MARIA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2060 EAST PARIS AVE SE, SUITE 200, GRAND RAPIDS, MI 49546
(616) 285-1377
(616) 285-1006
Mailing address
61 COMMERCE AVE SW, GRAND RAPIDS, MI 49503
(616) 940-0660
(616) 940-1965
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301061229
MI
Other
Enumeration date
11/08/2006
Last updated
05/10/2011
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