Organization
NORTHWESTERN MICHIGAN DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA C CARROLL M.D. (SECRETARY)
(231) 935-8717
Entity
Organization
Contact information
Practice address
550 MUNSON AVE, SUITE 200, TRAVERSE CITY, MI 49686-3580
(231) 935-8717
(231) 935-9230
Mailing address
550 MUNSON AVE, SUITE 200, TRAVERSE CITY, MI 49686-3580
(231) 935-8717
(231) 935-9230
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
09/28/2015
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