Individual
DR. STEPHANIE CAROLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
48467 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3282
(586) 298-1585
(586) 298-1591
Mailing address
48467 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3282
(586) 298-1585
(586) 298-1591
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002345
MI
Other
Enumeration date
04/21/2008
Last updated
04/04/2016
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