Individual provider · Type 1 NPI

David Carroll

Student in an Organized Health Care Education/Training Program · Warren, MI

NPI number 1073459616 Active

Practice location

11885 E 12 Mile Rd Ste 200B
Warren, MI 48093-3469

Call (586) 582-6630 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073459616

David Carroll's National Provider Identifier is 1073459616, issued on Apr 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Warren, MI. The record was last updated on Apr 27, 2026.