Individual
DR. CARSTON DAVID ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E. MEDICAL CENTER DRIVE, 1H 247 UH, ANN ARBOR, MI 48109-5048
(734) 936-4280
Mailing address
1500 E. MEDICAL CENTER DRIVE, 1H 247 UH, ANN ARBOR, MI 48109-5048
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351050656
MI
Other
Enumeration date
01/01/2022
Last updated
06/20/2023
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