Individual
BRIAN D CARLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 30TH AVENUE WEST, ALEXANDRIA CLINIC, ALEXANDRIA, MN 56308
(320) 763-5123
(320) 763-7883
Mailing address
610 30TH AVENUE WEST, ALEXANDRIA CLINIC, ALEXANDRIA, MN 56308
(320) 763-5123
(320) 763-7883
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36495
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030050446
RR MEDICARE
MN
05
—
343765500
—
MN
Enumeration date
01/18/2006
Last updated
10/21/2024
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