Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 5101018226 | MI |
NPI | 1003044462 |
---|---|
Provider Name | Robert F Carson |
First Address | Clinton Township, MI 48038-1106 |
Second Address | Clinton Township, MI 48038-1106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2009 |
Last Update Date | 11/10/2016 |