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Individual

CLARISSE MICHELLE CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
26957 NORTHWESTERN HWY, STE. 400, SOUTHFIELD, MI 48033-4700
(248) 687-6764
(888) 595-4735
Mailing address
30 W MONROE ST STE 1200, CHICAGO, IL 60603-2420
(312) 733-9730
(773) 866-8014

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704238548
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704238548
MI

Other

Enumeration date
02/02/2007
Last updated
04/06/2022
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