Individual provider · Type 1 NPI

Elizabeth M. Carlson, PA-C

Surgical Physician Assistant · Grand Rapids, MI

NPI number 1316346752 Active

Practice location

235 Wealthy St SE
Grand Rapids, MI 49503-5247

Call (616) 840-8224 Map

Fax (616) 840-9690

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X3404 (WI)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1316346752

Elizabeth M. Carlson, PA-C's National Provider Identifier is 1316346752, issued on Aug 21, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Grand Rapids, MI. The record was last updated on May 28, 2026.