Individual
SAMUEL W CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4010 W 65TH ST, EDINA, MN 55435-1706
(952) 456-7000
(952) 456-7001
Mailing address
3500 AMERICAN BLVD W STE 300, BLOOMINGTON, MN 55431-4442
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
64069
MN
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
64069
MN
Other
Enumeration date
05/16/2017
Last updated
08/22/2024
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