Carlson, Waldo B

Carlson, Waldo B is an individual health care provider with primary practice located at 1707 S Stephenson Ave , Iron Mountain MI 49801-3637. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine is his primary health care specialty. Carlson, Waldo B can be contacted via phone (906) 779-7111.

Contact Information

Primary practice address
1707 S Stephenson Ave Iron Mountain MI 49801-3637
Phone: (906) 779-7111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301043955 Michigan
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 4301043955 Michigan
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 4301043955 Michigan

Profile Details

NPI number 1356324214
LBN Legal business name Carlson, Waldo B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Nov 17th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356324214 NPPES
Wisconsin MEDICAID 30551400
Wisconsin MEDICAID 3228033
Wisconsin Other 110088084
Wisconsin Other 3902200121

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