Individual
WENDY CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 989-3233
Mailing address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301061349
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22001470
RAILROAD MEDICARE
MI
05
—
2944308
—
MI
Enumeration date
03/15/2006
Last updated
09/04/2007
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