Individual
JOHN B CARLSON-BUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 389-0182
(651) 982-7677
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 389-0182
(651) 982-7677
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
772
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199631
STATE WRKS COMP
WA
01
—
7680BU
REGENCE BLUE SHIELD
WA
01
—
772
STATE LICENSE
MN
05
—
8428757
—
WA
Enumeration date
03/15/2006
Last updated
01/29/2026
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