Search › Michigan › 103TC0700X
Jeff Carroll, PHD
NPI 1407995319 · on the registry since 2007
Practice
- Address
- 854 Washington Ave
Suite 330
Holland, MI 49423 - Phone
- (616) 355-3926
- Organisation at this address
- Michigan Medical Pc
Developmental Enhancement
Holland Community Hospital
Holland Community Hospital
Developmental Enhancement, PlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 88
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan