Individual
MICHAEL F CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
106 N SUNRISE AVE STE C8, ROSEVILLE, CA 95661-2914
(916) 297-7853
(916) 297-7852
Mailing address
106 N SUNRISE AVE STE C8, ROSEVILLE, CA 95661-2914
(916) 297-7853
(916) 297-7852
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
02/08/2008
Last updated
10/22/2018
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