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Individual

CAROL J PRINZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4320 CAMPUS RIDGE DRIVE, MIDLAND, MI 48640
(989) 837-9047
(989) 839-1840
Mailing address
4320 CAMPUS RIDGE DRIVE, MIDLAND, MI 48640
(989) 837-9047
(989) 839-1840

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
CP126664
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104289552
MI
01
383516078
DR'S TAX ID
MI
01
500G310970
BCBS #
MI
Enumeration date
02/20/2007
Last updated
11/02/2016
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