Individual
ROLF S CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1216 RYANS RD, WORTHINGTON, MN 56187-1722
(507) 372-2921
(507) 372-5789
Mailing address
1216 RYANS RD, WORTHINGTON, MN 56187-1722
(507) 372-2921
(507) 372-5789
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C996
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115530
UCARE
MN
01
—
620004999
RR MEDICARE
MN
05
—
800748900
—
MN
01
—
97749CA
BCBS MPIN
MN
Enumeration date
10/02/2006
Last updated
04/01/2013
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