Individual
DR. MARK JOEL CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 ANNE ST NW, SANFORD HEALTH OF NORTHERN MINNESOTA, BEMIDJI, MN 56601
(218) 751-9746
(218) 333-5228
Mailing address
1300 ANNE ST NW, BEMIDJI, MN 56601
(218) 751-9746
(218) 333-5228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46685
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9831341200
—
MN
Enumeration date
06/26/2006
Last updated
04/06/2022
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