Individual
MACKENZIE LEE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6565 FRANCE AVE S STE 200, EDINA, MN 55435-2141
(952) 920-2200
(952) 920-0866
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
(952) 512-5651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13706
MN
Other
Enumeration date
05/28/2021
Last updated
11/03/2025
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