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Contact Information

MARIA C CARROLL, MD
550 MUNSON AVE, SUITE 200
TRAVERSE CITY, MI49686
 Phone: 231-935-8717
 Fax: 231-935-9230
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MARIA C CARROLL · (Female)

NPI # 1437268661
Status Active
Credentials MD
Entity Individual
Enumeration date 08/30/2006
Last updated 06/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301077553
  • MI Medicaid 4317989
  • Other M008816 TRICARE
  • MI Other 0702803192 BLUE CROSS BLUE SHIELD
  • MI Other 38-2170687 PRIORITY HEALTH
  • MI Other 070010119 RAILROAD MEDICARE
Hospital affiliation(s)
  • MUNSON MEDICAL CENTER - (Acute Care)
    1105 SIXTH STREET
    TRAVERSE CITY, MI 49684
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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