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Individual

DANA L CARL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1100 S CEDAR ST, MASON, MI 48854-2009
(517) 676-3015
(517) 676-4250
Mailing address
1100 S CEDAR ST, MASON, MI 48854-2009
(517) 676-3015
(517) 676-4250

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704220749
MI
363L00000X
Nurse Practitioner
Primary
4704220749
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0N77190
GROUP MEDICARE PIN
MI
05
4688430
MI
01
5008752870
BCBS/BCN
MI
01
N77190005
MEDICARE PIN
MI
01
P00183929
RAILROAD MEDICARE
MI
Enumeration date
10/17/2006
Last updated
11/29/2007
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