Individual
MRS. ALLIE FRANCES CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1025 MARSH STREET, MANKATO, MN 56001
(076) 254-0315
Mailing address
1025 MARSH STREET, MANKATO, MN 56001
(920) 609-9623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11895
MN
Other
Enumeration date
11/06/2015
Last updated
09/17/2020
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