Michael Jonathan Carlson M.D.

NPI 1407076193 - Orthopaedic Surgery - 207X00000X

NPI Details
NPI 1407076193
Gender Male
Enumeration Date 04/26/2007
Last Updated 11/13/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1055 N 500 W
STE 121
PROVO UT, 84604-3305, US
Phone (801) 373-7350
Fax (801) 812-5401
Business Location
1055 N 500 W
PROVO UT, 84604-3305, US
Phone (801) 373-7350
Fax (801) 812-5401
Toxanomy
Taxonomy Code 207X00000X
License State Nebraska
License Number 5477
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According to our database, Dr. Michael Jonathan Carlson M.D. NPI is 1407076193, taxonomy code is 207X00000X and license number is 5477, license state is located at Nebraska. Michael Jonathan Carlson M.D. physically located at 1055 N 500 W, Provo UT, 84604-3305. NPI Number Michael Jonathan Carlson M.D. has the Individual type.

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1407076193 NPI number is provided on an as is basis without warranty of any kind. 1407076193 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Jonathan Carlson M.D. are for informational purposes only.