Individual
DOUGLAS L CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8905 W LINCOLN AVE, SUITE # 515, WEST ALLIS, WI 53227-2468
(414) 328-8650
(414) 328-8660
Mailing address
8905 W LINCOLN AVE, SUITE # 515, WEST ALLIS, WI 53227-2468
(414) 328-8650
(414) 328-8660
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29192
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31956900
—
WI
Enumeration date
01/25/2007
Last updated
11/30/2021
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