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Wayne Bruce Carlson, MD
Family Medicine Physician in Ishpeming, Michigan
NPI 1790846335

Wayne Bruce Carlson is a Family Medicine Physician based in Ishpeming, MI. Wayne Bruce Carlson practices in Ishpeming, MI and has the professional credentials of MD. The NPI Number for Wayne Bruce Carlson is 1790846335 and holds a License No. 4301044847 (Michigan).

The current practice location address for Wayne Bruce Carlson is 901 Lakeshore Dr, Ishpeming, MI and can be reached out via phone at 906-485-2687 and via fax at 906-485-2730.

Location: 901 Lakeshore Dr, Ishpeming, MI, 49849-1367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790846335
Provider Name
Wayne Bruce Carlson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
901 Lakeshore Dr, Ishpeming, MI, 49849-1367
Phone Number
906-485-2687
Fax Number
906-485-2730
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103306407 05 MI
080E21007 01 MI BCBS PIN
WC044847 01 MI BCBS LICENSE
institution
Provider Business Practice Location Address Details
Address
901 Lakeshore Dr
City
Ishpeming
State
Michigan
Zip
49849-1367
Phone Number
906-485-2687
Fax Number
906-485-2730
person
Provider Business Mailing Address Details
Address
901 Lakeshore Dr
City
Ishpeming
State
Michigan
Zip
49849-1367
Phone Number
906-485-2687
Fax Number
906-485-2730
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301044847 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
4301044847 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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