Search › Michigan › 207V00000X

Ivan Carroll, MD

NPI 1467476788 · on the registry since 2006

Practice

Address
17720 Cobblefield Ln
Spring Lake, MI 49456
Phone
(616) 296-0622

Registry record

Primary taxonomy
207V00000X
207V00000X
Also registered as
2083P0901X
207V00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-01-08

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