Organization
CARLSON MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNETTE M CARLSON MD (PRESIDENT CARLSON MEDICAL PC)
(906) 753-4665
Entity
Organization
Contact information
Practice address
S926 US 41, STEPHENSON, MI 49887
(906) 753-4665
(906) 753-4366
Mailing address
PO BOX 400, S926 US HWY 41, STEPHENSON, MI 49887-0400
(906) 753-4665
(906) 753-4366
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048831
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4654290
—
MI
Enumeration date
09/20/2007
Last updated
11/28/2007
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