Individual
DAVID LEON CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 S VAN DYKE ROAD, BAD AXE, MI 48413
(989) 269-9521
(989) 269-5209
Mailing address
4420 VARSITY DR, ATTN: BARB SIMMONS, ANN ARBOR, MI 48108-2233
(734) 677-7400
(734) 677-7400
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301G48193
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300070480
RR MEDICARE PIN
MI
01
—
300322263
BS INDIVIDUAL ID
MI
05
—
3161589
—
MI
01
—
DE9602
MEDICARE RR GRP PIN
MI
Enumeration date
05/24/2006
Last updated
05/14/2009
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