IndividualActive
Carleta Poydras, PA-C
NPI 1922348184 · Surgical Physician Assistant · Detroit, MI
Provider details
- NPI number
- 1922348184
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 560106069 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6071 W Outer Dr
Joint Excel Plus Orthopedic Clinic
Detroit, MI 48235-2624
Phone: (313) 966-1013
Fax: (313) 966-9510
Approximate (ZIP-level) locationGet directions
Mailing address
6071 W Outer Dr
Detroit, MI 48235-2624
Registry dates
- Enumerated
- 2013-02-26
- Last updated
- 2013-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.