Individual
DR. JESSICA LORRAINE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 EAST 28TH STREET SUITE # 190, MINNEAPOLIS, MN 55407
(612) 863-7560
(612) 863-3809
Mailing address
800 E 28TH ST # MR 11326, MINNEAPOLIS, MN 55407-3723
(612) 863-7560
(612) 863-3809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45682
MN
Other
Enumeration date
03/17/2006
Last updated
03/11/2021
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