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Individual

ALAN B CARLSON

Active
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Individual

ALAN B CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
449
MN
213E00000X
Podiatrist
694
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103291
UCARE - ROSEVILLE
MN
01
103295
UCARE HIGHLAND
MN
05
487052
AZ
05
504025600
MN
01
64599CA
BCBS
MN
Enumeration date
07/06/2006
Last updated
02/02/2011
About Stedi
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