person
Mrs. Marla D Carlisle, PA-C
Medical Physician Assistant in Fremont, Ohio
NPI 1316260839

Marla D Carlisle is a Medical Physician Assistant based in Fremont, OH and is specialized in Medical. Marla D Carlisle practices in Fremont, OH and has the professional credentials of PA-C. The NPI Number for Marla D Carlisle is 1316260839 and holds a License No. 5601006448 (Ohio).

The current practice location address for Marla D Carlisle is 605 Third Avenue, Suite B, Fremont, OH and can be reached out via phone at 567-201-2890.

Location: 605 Third Avenue, Suite B, Fremont, OH, 43420
person
Provider Profile Details
NPI Number
1316260839
Provider Name
Marla D Carlisle
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
605 Third Avenue, Suite B, Fremont, OH, 43420
Phone Number
567-201-2890
Fax Number
Provider Enumeration Date
03/11/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0071368 05 OH
institution
Provider Business Practice Location Address Details
Address
605 Third Avenue, Suite B
City
State
Zip
43420
Phone Number
567-201-2890
Fax Number
person
Provider Business Mailing Address Details
Address
605 Third Avenue, Suite B
City
State
Zip
43420
Phone Number
567-201-2890
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601006448 (Michigan)
Definition
Definition to come...
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