Individual
GARRETT S CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3456
Mailing address
568B N CHAMBERLAIN RD, ESMOND, IL 60129-9308
(815) 901-4706
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
19860
NY
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/02/2016
Last updated
06/29/2023
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