Individual
DR. ERIBERTO CARRION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
406 N STATE ST, GOBLES, MI 49055-9717
(269) 628-2196
(269) 628-2363
Mailing address
551 LINN ST, ALLEGAN, MI 49010-1591
(269) 686-5800
(269) 686-5899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
037432
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130489
PHYSICANS HEALTH PLAN
MI
05
—
1742371
—
MI
01
—
P68384
BLUE CARE NETWORK
MI
Enumeration date
07/08/2005
Last updated
12/14/2012
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