Individual
CHAD BLAKE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 N 9TH ST, BISMARCK, ND 58501-4515
(701) 530-8800
(701) 751-4550
Mailing address
310 N 9TH ST, BISMARCK, ND 58501-4515
(701) 530-8800
(701) 751-4550
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11836
ND
Other
Enumeration date
05/21/2007
Last updated
07/21/2022
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