Provider Information for 1902223514
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AMY CARNES
Sex: Female
NPI: 1902223514
Last Updated: 2025-03-16
Certification Date: 2025-03-16
Certification Date: 2025-03-16
Details
| Name | Value | ||||||||||||||||||||||||
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| NPI | 1902223514 | ||||||||||||||||||||||||
| Enumeration Date | 2014-03-20 | ||||||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||
| Mailing Address | PO BOX 176 IRON RIVER, MI 49935-0176 United States Phone: 906-359-8395 | Fax: | ||||||||||||||||||||||||
| Primary Practice Address | 612 W ADAMS ST RM 308 IRON RIVER, MI 49935-1322 United States Phone: 906-359-8395 | Fax: | ||||||||||||||||||||||||
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