Individual
MICHELLE L MCCARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1251 S CEDAR CREST BLVD STE 103, ALLENTOWN, PA 18103-6205
(215) 872-7451
Mailing address
1251 S CEDAR CREST BLVD STE 103, ALLENTOWN, PA 18103-6205
(215) 872-7451
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC003851L
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003851L
PA
213ES0131X
Foot Surgery Podiatrist
SC003851L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15259880401
—
PA
Enumeration date
12/07/2005
Last updated
07/17/2024
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