SCOTT A CARLSON

CRYSTAL LAKE CLINIC PC

Dr SCOTT A CARLSON is a male medical professional, specializing in Family Medicine. He graduated in 1982 from Michigan State University College Of Osteopathic Medicine.

Contact

CRYSTAL LAKE CLINIC PC

6227 FRANKFORT HWY
BENZONIA
MI
496168632

Tel: 2318829661

SCOTT A CARLSON Information

Npi 1750386199
Pac Id 1658276928
Professional Enrollment Id I20110720000251
Last Name CARLSON
First Name SCOTT
Middle Name A
Suffix
Gender M
Credential
Medical School Name MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1982
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CRYSTAL LAKE CLINIC PC
Group Practice Pac Id 0648259010
Number Of Group Practice Members 39
Line 1 Street Address 6227 FRANKFORT HWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BENZONIA
State MI
Zip Code 496168632
Phone Number 2318829661
Hospital Affiliation Ccn 1 230303
Hospital Affiliation Lbn 1 MUNSON HEALTHCARE MANISTEE HOSPITAL
Hospital Affiliation Ccn 2 230038
Hospital Affiliation Lbn 2 SPECTRUM HEALTH-BUTTERWORTH CAMPUS
Hospital Affiliation Ccn 3 230236
Hospital Affiliation Lbn 3 METRO HEALTH HOSPITAL
Hospital Affiliation Ccn 4 230110
Hospital Affiliation Lbn 4 SPECTRUM HEALTH LUDINGTON HOSPITAL
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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