Individual
CARSON STEPHEN MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2415 24TH ST, PORT HURON, MI 48060-6414
(810) 488-8840
Mailing address
660 KOULA RD, MARYSVILLE, MI 48040-2052
(810) 479-2220
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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