Organization
MC SLEEP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTEN ALVIN CARLSON MD (PRESIDENT/SECRETARY/TREASURER)
(307) 745-3955
Entity
Organization
Contact information
Practice address
1168 DUTTON CT, LARAMIE, WY 82072-5301
(307) 745-3955
Mailing address
1168 DUTTON CT, LARAMIE, WY 82072-5301
(307) 745-3955
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
5392A
WY
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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