Individual
DR. BRIAN A MCCARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
80600 VAN DYKE RD, BRUCE TWP, MI 48065-1333
(810) 798-6560
(810) 798-6563
Mailing address
80600 VAN DYKE RD, BRUCE TWP, MI 48065-1333
(810) 798-6560
(810) 798-6563
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BM007710
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000549480
UNITED HEALTH CARE
MI
01
—
0154410164
BCBS OF MI
MI
01
—
104279
CARE CHOICES
MI
01
—
2351230003
CIGNA HEALTH CARE
MI
05
—
4679001
—
MI
01
—
C8031
M-CARE
MI
Enumeration date
04/12/2006
Last updated
11/23/2009
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