Individual
CAROLYN GEORGEANNE JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E. MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION B, ANN ARBOR, MI 48109-5856
(734) 936-5850
(734) 647-4285
Mailing address
1500 E MEDICINE CENTER DRIVE, 5346 CVC, SPC, 5867, ANN ARBOR, MI 48109-5867
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351052217
MI
Other
Enumeration date
04/05/2019
Last updated
04/19/2024
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