Individual
MICHAEL L CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-5175
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-5175
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA16232
CA
Other
Enumeration date
11/29/2006
Last updated
01/03/2022
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