Provider Demographics
NPI:1205003423
Name:FINLEY, CAROLYNE ANN
Entity Type:Individual
Prefix:MRS
First Name:CAROLYNE
Middle Name:ANN
Last Name:FINLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25027 RUBIN RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48089-1203
Mailing Address - Country:US
Mailing Address - Phone:586-497-8738
Mailing Address - Fax:586-497-8738
Practice Address - Street 1:25027 RUBIN RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48089-1203
Practice Address - Country:US
Practice Address - Phone:586-497-8738
Practice Address - Fax:586-497-8738
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIF540108067022172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver