Individual
MR. BRIAN G CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN
Contact information
Practice address
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290
Mailing address
9200 W WISCONSIN AVENUE, DEPARTMENT OF RADIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3750
(414) 259-9290
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3641-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093954687
—
WI
Enumeration date
02/05/2009
Last updated
07/21/2022
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