Individual
DR. RONALD KEVIN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 458-4486
(734) 458-4496
Mailing address
197 LAUREL LN, CANTON, MI 48187-4591
(865) 776-5333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102202951
VA
207P00000X
Emergency Medicine Physician
2116
TN
207P00000X
Emergency Medicine Physician
5101017465
MI
208D00000X
General Practice Physician
5101017465
MI
Other
Enumeration date
08/10/2007
Last updated
02/17/2022
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