Basic Information
| Provider Information | |||||||||
| NPI: | 1568724557 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ESSLING | ||||||||
| FirstName: | CARLA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1903 W MICHIGAN AVE | ||||||||
| Address2: | |||||||||
| City: | KALAMAZOO | ||||||||
| State: | MI | ||||||||
| PostalCode: | 490085445 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2693873287 | ||||||||
| FaxNumber: | 8124506822 | ||||||||
| Practice Location | |||||||||
| Address1: | 1903 W MICHIGAN AVE | ||||||||
| Address2: | |||||||||
| City: | KALAMAZOO | ||||||||
| State: | MI | ||||||||
| PostalCode: | 490085200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2693873287 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2012 | ||||||||
| LastUpdateDate: | 10/18/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 4301116457 | MI | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 01075673A | IN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.