Individual
DR. MICHAEL J. CARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1540 LAKE LANSING RD, STE 201, LANSING, MI 48912-3707
(517) 913-3900
(517) 913-3901
Mailing address
1540 LAKE LANSING RD, STE 201, LANSING, MI 48912-3707
(517) 913-3900
(517) 913-3901
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301406434
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M21440010
MEDICARE PLUS BLUE
MI
01
—
1001337
MCLAREN HEALTH PLAN-COMMERCIAL
MI
01
—
110141707
RAILROAD MEDICARE
MI
01
—
1103303831
BCBS/BCN
MI
01
—
200000001715
PHP FAMILYCARE
MI
01
—
4083567
MEDICAID
MI
01
—
4122546
AETNA
MI
05
—
4848051
—
MI
Enumeration date
05/17/2006
Last updated
09/22/2009
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