Healthcare Provider Details

I. General information

NPI: 1649963919
Provider Name (Legal Business Name): ANNA MARIE CARMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2023
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 US HIGHWAY 131 UNIT 4
PETOSKEY MI
49770-8344
US

IV. Provider business mailing address

416 CONNABLE AVE
PETOSKEY MI
49770-2212
US

V. Phone/Fax

Practice location:
  • Phone: 231-487-2000
  • Fax:
Mailing address:
  • Phone: 800-248-6777
  • Fax: 231-487-4000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301518038
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: