Individual
DR. JOSEPH W CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 N 9TH ST, BISMARCK, ND 58501-4508
(701) 530-8800
(701) 530-8763
Mailing address
310 N 9TH ST, BISMARCK, ND 58501-4508
(701) 530-8800
(701) 530-8763
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6884
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18016
—
ND
01
—
7771490
SD MEDICAID
SD
Enumeration date
07/24/2006
Last updated
07/09/2007
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