Individual
JANNA K CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1313 PENN AVENUE NORTH, MINNEAPOLIS, MN 55411
(612) 543-2500
(612) 302-4870
Mailing address
1313 PENN AVENUE NORTH, MINNEAPOLIS, MN 55411
(612) 543-2500
(612) 302-4870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29321
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00288800
—
MN
Enumeration date
04/28/2006
Last updated
02/21/2013
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