Individual
MR. CARLTON CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
30472 23 MILE RD, CHESTERFIELD, MI 48047-1844
(586) 863-4000
Mailing address
1225 E BIG BEAVER RD, TROY, MI 48083-1905
(248) 524-8801
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704304695
MI
Other
Enumeration date
11/03/2018
Last updated
01/25/2023
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