Individual
DR. JANE ELIZABETH CARLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
164 PILLSBURY DRIVE S.E., 115 SHEVLIN HALL, MINNEAPOLIS, MN 55455-0279
(612) 624-7307
(612) 624-7586
Mailing address
164 PILLSBURY DRIVE S.E., 115 SHEVLIN HALL, MINNEAPOLIS, MN 55455-0279
(612) 624-7307
(612) 624-7586
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5032
MN
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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