Search › Michigan › 372600000X
Carrie Dextrom
NPI 1437626256 · on the registry since 2018
Practice
- Address
- 9200 W Walker Rd
Manton, MI 49663 - Phone
- (231) 878-8352
- Organisation at this address
- Magnolia Care Afc Home Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 372600000X
372600000X
- Sex
- Female
- Record last updated
- 2018-10-30
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