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Individual

EDWIN CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10 WOODLAND RD, SAINT HELENA, CA 94574-9554
(707) 963-3611
Mailing address
10 WOODLAND RD, SAINT HELENA, CA 94574-9554
(707) 963-3611

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
CAG021113
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G211130
CA
01
CAG021113
STATE LICENSE NUMBER
CA
Enumeration date
11/30/2005
Last updated
12/21/2009
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