Individual
ANDREA LOUISE CARLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1717 E. CHICAGO RD, STURGIS, MI 49091
(269) 651-3554
(269) 659-4998
Mailing address
1717 E. CHICAGO RD, STURGIS, MI 49091
(269) 651-3554
(269) 659-4998
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003893
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110G510580
BCBS GROUP-INTERNAL MEDICINE
MI
01
—
700G560080
BCBS GROUP - THREE RIVERS HEALTH
MI
Enumeration date
02/23/2006
Last updated
11/29/2012
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