Individual
KRISTI L CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 BUTTS AVENUE, TOMAH, WI 54660
(608) 372-5951
(608) 372-3436
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(608) 785-0940
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
743023
WI
Other
Enumeration date
11/18/2005
Last updated
01/07/2022
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