Individual
MR. JOHN WILLIAM CARLSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
30 E MAIN ST, FREMONT, MI 49412-1244
(231) 924-5965
Mailing address
30 E MAIN ST, FREMONT, MI 49412-1244
(231) 924-5965
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302025238
MI
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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