Individual
TIMOTHY ALAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
749 UNIVERSITY ROW STE 200, MADISON, WI 53705-1465
(608) 263-6400
Mailing address
749 UNIVERSITY ROW STE 200, MADISON, WI 53705-1465
(608) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
82076
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2021
Last updated
06/19/2023
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