| Doctor Name: | MR. MICHAEL ANTHONY CARR |
| NPI Number: | 1417932997 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 1062969 |
| Business Practice Address: | 5201 Lee Road Uscg Air Station Cape Cod-kaehler Memorial Med Clinic Buzzards Bay, MA - 02542 |
| Business Phone Number: | 5089686572 |
| Business Fax Number: | 5089686581 |
| Mailing Address: | 5201 Lee Road, Uscg Air Station Cape Cod-kaehler Memorial Med Clinic BUZZARDS BAY |
| State: | MA |
| Postal Code: | 02542 |
| Phone Number: | 5089686572 |
| Fax Number: | 5089686581 |
| NPI Enumeration Date: | 12/07/2005 |
| NPI Last Update Date: | 12/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1062969 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |