Individual
MICHAEL CARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5187
(208) 625-6892
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5085
(208) 625-5731
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.131222
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
M-15648
ID
2080N0001X
Neonatal-Perinatal Medicine Physician
MD61043218
WA
Other
Enumeration date
06/30/2014
Last updated
03/17/2025
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