Individual
MICHAEL CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-9970
Mailing address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 363-9970
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN.306061
OH
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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