Individual
MICHAEL J. CARLSON
Active
Individual
MICHAEL J. CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054349
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005821274
—
VA
01
—
110170591
RAILROAD MEDICARE
VA
01
—
223935
ANTHEM BCBS OF VA
VA
01
—
2263771
CIGNA
VA
01
—
267461
MAMSI
VA
01
—
5080654
AETNA HMO
VA
01
—
84862
SENTARA
VA
01
—
C05704
GROUP PTAN
VA
Enumeration date
07/07/2006
Last updated
01/02/2010
Update your record
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