Individual
JANINE L CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 234-2406
(701) 234-7481
Mailing address
PO BOX 2010, FARGO, ND 58122-0605
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7732
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10996
—
ND
Enumeration date
07/16/2006
Last updated
03/25/2022
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