Michael G Carlston M.D.

NPI 1023140977 - Family Medicine - 207Q00000X

NPI Details
NPI 1023140977
Gender Male
Enumeration Date 03/09/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2448 GUERNEVILLE RD
SUITE 900
SANTA ROSA CA, 95403-7222, US
Phone (707) 545-1554
Fax (707) 545-1595
Business Location
2448 GUERNEVILLE RD
SUITE 900
SANTA ROSA CA, 95403-7222, US
Phone (707) 545-1554
Fax (707) 545-1595
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number G54737
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According to our database, Dr. Michael G Carlston M.D. NPI is 1023140977, taxonomy code is 207Q00000X and license number is G54737, license state is located at California. Michael G Carlston M.D. physically located at 2448 Guerneville Rd, Santa Rosa CA, 95403-7222. NPI Number Michael G Carlston M.D. has the Individual type.

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1023140977 NPI number is provided on an as is basis without warranty of any kind. 1023140977 is maintained by the National Plan & Provider Enumeration System. The contents of Michael G Carlston M.D. are for informational purposes only.