Organization
MCCARROLL PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN A MCCARROLL D.O. (OWNER-PHYSICIAN)
(810) 798-6560
Entity
Organization
Contact information
Practice address
198 N. MAIN ST, ALMONT, MI 48003
(810) 798-6560
Mailing address
P.O. BOX 687, ALMONT, MI 48003
(810) 798-6560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
BM007710
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0154410164
BCBS
MI
01
—
104279
CARE CHOICES
MI
01
—
124180
GREAT LAKES HEALTH PLAN
MI
05
—
4679001
—
MI
01
—
C8031
M-CARE
MI
Enumeration date
11/13/2006
Last updated
08/22/2020
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