Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | SC0041171 | PA |
N | 222Z00000X | Podiatrist | SC0041171 | PA |
Y | 213ES0103X | Foot & Ankle Surgery | E4538 | CA |
NPI | 1023042512 |
---|---|
Provider Name | Dr. Michael Cal Karason |
First Address | Elizabethtown, PA 17022-0528 |
Second Address | West Hollywood, CA 90048-1803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 25/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
521941 | (02) | PA |
E4538 | (02) | CA |