IndividualActive
Elizabeth Carlson, PA-C
NPI 1316346752 · Surgical Physician Assistant · Grand Rapids, MI
Provider details
- NPI number
- 1316346752
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 3404 (WI)
Practice location
235 Wealthy St Se
Grand Rapids, MI 49503-5247
Phone: (616) 840-8224
Fax: (616) 840-9690
Mailing address
235 Wealthy St Se
Grand Rapids, MI 49503-5247
Registry dates
- Enumerated
- 2014-08-21
- Last updated
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.