| NPI Details | |
|---|---|
| NPI | 1518192954 |
| Gender | Female |
| Enumeration Date | 05/28/2009 |
| Last Updated | 06/13/2011 |
| Entity Type | Individual |
| Active | Over 8 years ago |
| Practice Location | |
|---|---|
| 235 E STATE ST SAINT CROIX FALLS WI, 54024-4117, US |
|
| Phone | (715) 483-3221 |
| Fax | (715) 483-0507 |
| Business Location | |
|---|---|
| 235 E STATE ST SAINT CROIX FALLS WI, 54024-4117, US |
|
| Phone | (715) 483-3221 |
| Fax | (715) 483-0507 |
| Toxanomy | |
|---|---|
| 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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