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Individual

ANNETTE CARRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
28080 GRAND RIVER AVE, SUITE 306, FARMINGTON HILLS, MI 48336-5966
(734) 464-0887
(734) 402-0254
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
5101011445
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110F376980
BCBSM
MI
05
3410577
MI
Enumeration date
03/22/2006
Last updated
04/03/2017
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