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Individual

CAROLEE ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1011 MILITARY ST, PORT HURON, MI 48060-5416
(810) 488-8000
(810) 488-8005
Mailing address
555 SAINT CLAIR RIVER DR, ALGONAC, MI 48001-1802
(810) 794-4982
(810) 794-4407

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704200317
MI

Other

Enumeration date
07/31/2015
Last updated
07/31/2015
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