Individual
JOHN A CARSTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34214
IA
207R00000X
Internal Medicine Physician
ME105681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001716300
—
FL
05
—
0291468
—
IA
05
—
1851378012
—
IA
01
—
P00047047
RR MEDIACARE
IA
Enumeration date
12/29/2005
Last updated
03/01/2012
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