NPI Details | |
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NPI | 1518192954 |
Gender | Female |
Enumeration Date | 05/28/2009 |
Last Updated | 06/13/2011 |
Entity Type | Individual |
Active | Over 8 years ago |
Practice Location | |
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235 E STATE ST SAINT CROIX FALLS WI, 54024-4117, US |
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Phone | (715) 483-3221 |
Fax | (715) 483-0507 |
Business Location | |
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235 E STATE ST SAINT CROIX FALLS WI, 54024-4117, US |
|
Phone | (715) 483-3221 |
Fax | (715) 483-0507 |
Toxanomy | |
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Taxonomy Code | 363A00000X |
License State | |
License Number | |
Remove 1518192954 NPI Number |
According to our database, Carissa Marie Carlson PA-C NPI is 1518192954, taxonomy code is 363A00000X Carissa Marie Carlson PA-C physically located at 235 E State St, Saint Croix Falls WI, 54024-4117. NPI Number Carissa Marie Carlson PA-C has the Individual type.
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1518192954 NPI number is provided on an as is basis without warranty of any kind. 1518192954 is maintained by the National Plan & Provider Enumeration System. The contents of Carissa Marie Carlson PA-C are for informational purposes only.
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