| Organization Name: | CARSON CONSULTING GROUP |
| NPI Number: | 1235588716 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL CARSON (PHYSICIAN) |
| Mailing Address: | 577 N Lamkin Rd Harbor Springs |
| State: | MI US |
| Postal Code: | 497408102 |
| Phone Number: | 2393485871 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2016 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 5101007330 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |