Individual
CARIN L. NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4727 LAKESHORE RD, BOYNE CITY, MI 49712-9752
(231) 638-5585
(231) 577-9006
Mailing address
4727 LAKESHORE RD, BOYNE CITY, MI 49712-9752
(231) 638-5585
(231) 577-9006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301078471
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802410252
BCBS PIN
MI
01
—
080B410330
BCBS GROUP BILLING #
MI
Enumeration date
05/02/2006
Last updated
01/11/2024
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