Individual
DR. DANITA J CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 HENNEPIN AVE, MINNEAPOLIS, MN 55408-1906
(612) 775-4800
(612) 775-4801
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42160
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
707678900
—
MN
Enumeration date
12/30/2005
Last updated
03/11/2021
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