Individual
ANNA ROSE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 MICHIGAN ST NE STE 5201, GRAND RAPIDS, MI 49503-2530
(616) 486-5885
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301504485
MI
Other
Enumeration date
04/03/2014
Last updated
08/30/2021
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