Individual
JAMIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
4069 LAKE DR SE STE 315, GRAND RAPIDS, MI 49546-8816
(616) 267-7758
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601001151
MI
Other
Enumeration date
06/20/2024
Last updated
08/26/2024
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