Individual
DR. JOEL M CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 DEWEY STREET, WISCONSIN RAPIDS, WI 54495-0005
(715) 421-1001
Mailing address
420 DEWEY STREET, WISCONSIN RAPIDS, WI 54495-0005
(715) 421-1001
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
33239
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31818600
—
WI
Enumeration date
08/10/2006
Last updated
07/27/2015
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