Individual
DR. MICHAEL JONATHAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5477
NE
207X00000X
Orthopaedic Surgery Physician
Primary
8283131-1205
UT
207X00000X
Orthopaedic Surgery Physician
A114736
CA
Other
Enumeration date
04/26/2007
Last updated
11/27/2023
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