Ivan Dale Carroll, MD

NPI #1467476788 in Spring Lake, Michigan

Provider Information

NPI Number: 1467476788
Entity Type: Individual
Name: Ivan Dale Carroll, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Preventive Medicine - Public Health & General Preventive Medicine
Credential: MD
Enumeration Date: Jul 27, 2006
Last Updated: Jan 8, 2021

Practice Location

Address: 17720 COBBLEFIELD LN
City: Spring Lake
State: Michigan
ZIP Code: 49456-9264
Phone: (616) 296-0622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Preventive Medicine - Public Health & General Preventive Medicine — Public Health & General Preventive Medicine	2083P0901X	Primary
Obstetrics & Gynecology	207V00000X

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