Diana Jolynn Carlson D.O.

NPI 1689825564 - Internal Medicine - 207R00000X

NPI Details
NPI 1689825564
Gender Female
Enumeration Date 10/09/2008
Last Updated 04/14/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
100 N POND DR
SUITE C
WALLED LAKE MI, 48390-3079, US
Phone (248) 624-2222
Fax (248) 926-9455
Business Location
100 N POND DR
SUITE C
WALLED LAKE MI, 48390-3079, US
Phone (248) 624-2222
Fax (248) 926-9455
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 5101017651
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According to our database, Dr. Diana Jolynn Carlson D.O. NPI is 1689825564, taxonomy code is 207R00000X and license number is 5101017651, license state is located at Michigan. Diana Jolynn Carlson D.O. physically located at 100 N Pond Dr, Walled Lake MI, 48390-3079. NPI Number Diana Jolynn Carlson D.O. has the Individual type.

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1689825564 NPI number is provided on an as is basis without warranty of any kind. 1689825564 is maintained by the National Plan & Provider Enumeration System. The contents of Diana Jolynn Carlson D.O. are for informational purposes only.