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Individual
DR. DEREK MIKEL CARLSON
Active
Individual
DR. DEREK MIKEL CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
03325
KY
207P00000X
Emergency Medicine Physician
Primary
03325
KY
207P00000X
Emergency Medicine Physician
252015-1
NY
2083A0100X
Aerospace Medicine Physician
252015-1
NY
Other
Enumeration date
06/27/2007
Last updated
04/09/2025
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