Individual
DR. HEATHER R CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1230 E. MAIN STREET, MANKATO CLINIC AT MAIN STREET, MANKATO, MN 56002-8674
(507) 625-1811
Mailing address
PO BOX 8674, 1230 E. MAIN STREET MANKATO CLINIC, LTD, MANKATO, MN 56002-8674
(507) 625-1811
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5101016536
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
52425
MN
Other
Enumeration date
05/08/2007
Last updated
07/09/2020
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