Individual
ZACHARY CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-5450
Mailing address
715 S 8TH ST, MINNEAPOLIS, MN 55404-7530
(612) 873-5450
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
14973
MN
363A00000X
Physician Assistant
Primary
14973
MN
Other
Enumeration date
04/12/2024
Last updated
12/10/2025
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