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Individual

DANIEL CARREL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1260 EKHART ST NE, STE112, GRAND RAPIDS, MI 49503-1380
(616) 356-5202
(616) 458-9845
Mailing address
PO BOX 1500, NOVI, MI 48376-1500
(248) 324-0700
(248) 324-1477

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101010006
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4857060
MI
01
700B510850
BCBS OF MI
MI
01
CD6543-P00297382
RR MEDICARE
MI
Enumeration date
06/28/2006
Last updated
07/08/2007
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