Individual
CARL D HARLAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
Update your record
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