Carissa Marie Carlson PA-C

NPI 1518192954 - Physician Assistant - 363A00000X

NPI Details
NPI 1518192954
Gender Female
Enumeration Date 05/28/2009
Last Updated 06/13/2011
Entity Type Individual
Active Over 7 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
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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.