| Doctor Name: | MICHAEL PAUL CARLISLE |
| NPI Number: | 1295950376 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | PENDING |
| Business Practice Address: | 411 Laurel Street Suite 2225 Des Moines, IA - 503143026 |
| Business Phone Number: | 5156435455 |
| Business Fax Number: | 5156436459 |
| Mailing Address: | Po Box 1475, DES MOINES |
| State: | IA |
| Postal Code: | 503051475 |
| Phone Number: | 5156435455 |
| Fax Number: | 5156436459 |
| NPI Enumeration Date: | 04/16/2007 |
| NPI Last Update Date: | 06/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | PENDING |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy 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. |