MEDICARE: DR. ERIK J CARSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	066472	MI
2	207RX0202X	Medical Oncology Physician	4301066472	MI

General Provider Information

NPI Number	:	1235134339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIK J CARSON M.D.

Provider Business Mailing Address
First Line	:	24 FRANK LLOYD WRIGHT DRIVE
Second Line	:	SUITE J2000
City	:	ANN ARBOR
State	:	MI
Zip	:	48105-9484
Country	:	US
Telephone Number	:	734-747-6766
Fax Number	:	734-222-3100

Provider Business Practice Location Address
First Line	:	775 S MAIN ST
Second Line	:
City	:	CHELSEA
State	:	MI
Zip	:	48118
Country	:	US
Telephone Number	:	734-712-1000
Fax Number	:	734-712-3218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	12/26/2024

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