Individual
CAROL WAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6869 S OCCIDENTAL RD, TECUMSEH, MI 49286-9784
(517) 423-4777
(517) 423-7257
Mailing address
6869 S OCCIDENTAL RD, TECUMSEH, MI 49286-9784
(517) 423-4777
(517) 423-7257
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301049229
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508958760
—
MI
01
—
M35150149
MEDICARE PTAN
MI
Enumeration date
09/28/2006
Last updated
06/24/2019
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