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Individual
DR. DOUGLAS W CARLSON
Active
Individual
DR. DOUGLAS W CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-136399
IL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
036-136399
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103810102
—
MO
Enumeration date
07/17/2006
Last updated
09/29/2026
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