Individual
CARLEY JO HUELSKAMP
Active
Individual
CARLEY JO HUELSKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5601011784
MI
208000000X
Pediatrics Physician
5601011784
MI
363AM0700X
Medical Physician Assistant
Primary
5601011784
MI
Other
Enumeration date
06/05/2023
Last updated
04/04/2024
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