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Individual

CARLIN C STOCKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
620 BYRON RD, HOWELL, MI 48843-1002
(517) 545-6000
Mailing address
2000 GREEN RD STE 300, ANN ARBOR, MI 48105-1575

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
052131
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4098480
MI
01
CS052131
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/03/2006
Last updated
06/05/2008
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