Individual
KATHERINE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6838 M 93 HWY S, GRAYLING, MI 49738-7766
(989) 348-6600
Mailing address
380 N 4TH ST, WEST BRANCH, MI 48661-1010
(989) 348-6600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7501007018
MI
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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