Individual
CARL D HARLAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
14700 LAKE SHORE DR, CHARLEVOIX, MI 49720
(231) 547-4024
(734) 677-7407
Mailing address
PO BOX 1108, ANN ARBOR, MI 48106-1108
(231) 547-4024
(734) 677-7407
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101008593
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0982318
HEALTHPOLUS
MI
01
—
300086775
MEDICARE RR PIN
MI
01
—
310A510270
BCBS
MI
01
—
3151500034
BCBS INDIVIDUAL ID
MI
05
—
3450062
—
MI
Enumeration date
05/03/2006
Last updated
05/19/2008
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