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Carl D Harlan JR., DO
Diagnostic Radiology Physician in Charlevoix, Michigan
NPI 1730147307

Carl D Harlan JR. is a Diagnostic Radiology Physician based in Ann Arbor, MI and is specialized in Diagnostic Radiology. Carl D Harlan JR. practices in Charlevoix, MI and has the professional credentials of DO. The NPI Number for Carl D Harlan JR. is 1730147307 and holds a License No. 5101008593 (Michigan).

The current practice location address for Carl D Harlan JR. is 14700 Lake Shore Dr, Charlevoix, MI and can be reached out via phone at 231-547-4024 and via fax at 734-677-7407.

Location: 14700 Lake Shore Dr, Charlevoix, MI, 48106-1108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730147307
Provider Name
Carl D Harlan JR.
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
14700 Lake Shore Dr, Charlevoix, MI, 48106-1108
Phone Number
231-547-4024
Fax Number
734-677-7407
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300086775 01 MI MEDICARE RR PIN
0982318 01 MI HEALTHPOLUS
3450062 05 MI
3151500034 01 MI BCBS INDIVIDUAL ID
300086775 01 MI RR MEDICARE
310A510270 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
14700 Lake Shore Dr
City
Charlevoix
State
Michigan
Zip
49720
Phone Number
231-547-4024
Fax Number
734-677-7407
person
Provider Business Mailing Address Details
Address
14700 Lake Shore Dr
City
Charlevoix
State
Michigan
Zip
49720
Phone Number
231-547-4024
Fax Number
734-677-7407
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
5101008593 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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