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Individual

ROBERT CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA, RN

Contact information

Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-6077
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5922

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704295699
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704295699
MI

Other

Enumeration date
01/09/2018
Last updated
11/03/2023
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