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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IVAN DALE CARROLL, MD

Active

IVAN DALE CARROLL, MD is a Obstetrics & Gynecology healthcare provider located in SPRING LAKE, Michigan. NPI 1467476788 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · SPRING LAKE, MI

Registration Details

NPI Number
1467476788
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2006 (20.096061020036 yrs)
Last Updated
Jan 8, 2021
Licenses
4301036938 (MI)
5315171197 (MI)
4301036938 (MI)

Practice Information

Address
17720 COBBLEFIELD LN
SPRING LAKE, MI, 494569264
Browse MI providers · Browse ZIP 49456
Phone
6162960622
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in SPRING LAKE, MI

Name Credential NPI
THOMAS VANWINGEN MD 1679670749
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.