Individual
WALTER O CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 E 23RD ST, SIOUX FALLS, SD 57105-2135
(605) 331-5890
(605) 336-3974
Mailing address
PO BOX 5116, SIOUX FALLS, SD 57117-5116
(605) 331-5890
(605) 336-3974
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1241
SD
207X00000X
Orthopaedic Surgery Physician
26304
IA
207X00000X
Orthopaedic Surgery Physician
47259
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200010316
RAILROAD MEDICARE
SD
05
—
6400350
—
SD
Enumeration date
08/02/2006
Last updated
01/16/2010
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