Individual
INGRID MARIE CARLSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 WADE AVE, CATONSVILLE, MD 21228-4663
(410) 402-6000
Mailing address
55 WADE AVE, SPRING GROVE HOSPITAL CENTER, CATONSVILLE, MD 21228
(140) 402-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004473
MD
Other
Enumeration date
11/05/2010
Last updated
11/02/2015
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