Individual
AMANDA JO CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1951
(218) 786-4357
Mailing address
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4357
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
53284
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2010
Last updated
07/30/2013
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