Individual
HEATHER ELIZABETH CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4100 PARK FOREST DR STE 208, TRAVERSE CITY, MI 49684-7306
(231) 935-5710
Mailing address
4100 PARK FOREST DR STE 208, TRAVERSE CITY, MI 49684-7306
(231) 935-5710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101020508
MI
207RG0100X
Gastroenterology Physician
Primary
5101020508
MI
Other
Enumeration date
06/26/2013
Last updated
07/22/2024
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