Basic Information
Provider Information
NPI: 1891187662
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROJAS
FirstName: CARIN
MiddleName: DESIREE
NamePrefix:  
NameSuffix:  
Credential:  
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Mailing Information
Address1: 3621 S STATE ST
Address2:  
City: ANN ARBOR
State: MI
PostalCode: 481081633
CountryCode: US
TelephoneNumber: 7346475299
FaxNumber:  
Practice Location
Address1: 1000 WALL ST
Address2:  
City: ANN ARBOR
State: MI
PostalCode: 481051912
CountryCode: US
TelephoneNumber: 7347644190
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/03/2015
LastUpdateDate: 10/31/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/31/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000X4301503946MIY Allopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


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