MRS. Marla D Carlisle, PA-C

NPI #1316260839 in Fremont, Ohio

Provider Information

NPI Number
1316260839
Entity Type
Individual
Name
MRS. Marla D Carlisle, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Mar 11, 2010
Last Updated
Oct 7, 2016

Practice Location

Address
605 THIRD AVENUE, SUITE B
State
Ohio
ZIP Code
43420
Phone
(567) 201-2890

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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