Individual
CARLA E BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
51538 SILVER BELL DR, MACOMB, MI 48042-4348
(313) 627-4743
Mailing address
51538 SILVER BELL DR, MACOMB, MI 48042-4348
(313) 627-4743
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704232588
MI
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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