Individual
BRITTA LEE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2355 HWY 36 W., STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
(651) 439-0232
Mailing address
2355 HWY 36 W. STE. 100, ROSEVILLE, MN 55113
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
11629
MN
363AS0400X
Surgical Physician Assistant
3455-23
WI
Other
Enumeration date
10/08/2014
Last updated
09/20/2022
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