Individual
CARRIE LAUREN CAROZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154
(734) 655-1260
Mailing address
36475 5 MILE ROAD, EMERGENCY MEDICINE - MEDICAL STAFF OFFICE, LIVONIA, MI 48154
(734) 655-1260
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301105564
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301105564
MI
Other
Enumeration date
06/04/2014
Last updated
12/29/2021
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