Individual
MICHAEL P. CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4855 MILLS CIVIC PKWY., STE. 100, WEST DES MOINES, IA 50265
(515) 277-5555
(515) 277-0060
Mailing address
4855 MILLS CIVIC PKWY., STE. 100, WEST DES MOINES, IA 50265
(515) 277-5555
(515) 277-0060
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PENDING
KS
207Y00000X
Otolaryngology Physician
MD-42630
IA
208200000X
Plastic Surgery Physician
Primary
MD-42630
IA
Other
Enumeration date
04/16/2007
Last updated
10/30/2023
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