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Search › Michigan › 101YA0400X

Carlos League

NPI 1578818837 · on the registry since 2012

Practice

Address
445 Ledyard St
Detroit, MI 48201
Phone
(313) 962-9446
Fax
(313) 962-6395
Organisation at this address
Mariners Inn
Mariners Inn
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-07-23

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