Individual
MAGGIE ANN CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT/INTERN
Contact information
Practice address
724 MAIN ST, NORWAY, MI 49870-1248
(906) 563-1206
Mailing address
724 MAIN ST, NORWAY, MI 49870-1248
(906) 563-1206
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
6803087231
MI
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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