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Contact Information

ELIZABETH M CARLSON, PA-C
235 WEALTHY ST SE
GRAND RAPIDS, MI49503-5247
 Phone: 616-840-8224
 Fax: 616-840-9690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ELIZABETH M CARLSON · (Female)

NPI Number 1316346752
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/21/2014
Last updated 05/28/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • WI License # 3404
  • MI Medicaid 1316346752
  • MI Other EB007542 BCBS
Hospital affiliation(s)
  • HOLLAND COMMUNITY HOSPITAL - (Acute Care)
    602 MICHIGAN AVE
    HOLLAND, MI 49423
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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