Individual
CHAD CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5200
(414) 259-0469
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-5200
(414) 259-0469
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
232805
NY
2084N0400X
Neurology Physician
Primary
60036
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235247669
—
WI
Enumeration date
08/27/2006
Last updated
03/17/2014
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