Individual
MICHAEL A CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE, ML2003, CINCINNATI, OH 45229-3026
(513) 636-4432
(513) 636-3952
Mailing address
3333 BURNET AVE, ML2003, CINCINNATI, OH 45229-3026
(513) 636-4432
(513) 636-3952
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
57.022892
OH
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
35.128407
OH
Other
Enumeration date
04/12/2013
Last updated
09/09/2022
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