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Individual

MICHAEL J. CARLON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 15TH AVE E, SEATTLE, WA 98112-5260
(206) 326-3000
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
DR-21673
CO
207ZP0101X
Anatomic Pathology Physician
Primary
MD00024002
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8164642
WA
Enumeration date
01/03/2007
Last updated
10/29/2007
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