Individual
DR. TIM CARLSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2620 TENDERFOOT HILL ST, SUITE 10, COLORADO SPRINGS, CO 80906-3981
(719) 576-2080
(719) 576-2248
Mailing address
2620 TENDERFOOT HILL ST, SUITE 10, COLORADO SPRINGS, CO 80906-3981
(719) 576-2080
(719) 576-2248
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
642
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12451576
—
CO
01
—
841469291005
RMHMO
CO
01
—
84146929104
PACIFICARE
CO
01
—
P00147284
RRW MEDICARE
CO
Enumeration date
01/17/2006
Last updated
07/08/2007
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