Individual
MR. CODY RYAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT, I/C
Contact information
Practice address
3864 SNYDER RD, WELLSTON, MI 49689-9505
(231) 499-3098
Mailing address
3864 SNYDER RD, WELLSTON, MI 49689-9505
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
1887216
MI
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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