Individual
MICHAEL JOHN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
219 S WASHINGTON ST, EASTON, MD 21601-2913
(410) 822-1000
Mailing address
300A N MAIN ST, KNOX, PA 16232-1906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H0079965
MD
207Q00000X
Family Medicine Physician
Primary
OT014880
PA
Other
Enumeration date
07/30/2012
Last updated
05/20/2024
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