Individual
CAROLYN WILSON BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1200 N TELEGRAPH RD, PONTIAC, MI 48341-0432
(248) 858-1276
(248) 858-5639
Mailing address
1200 N TELEGRAPH RD, PONTIAC, MI 48341-1032
(248) 858-1276
(248) 858-5639
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
4301030690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F37045
BCBSM
MI
05
—
1811218
—
MI
05
—
2700670
—
MI
Enumeration date
10/18/2006
Last updated
07/09/2007
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