Individual
MADELINE GRACE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 KENWOOD AVE, DULUTH, MN 55811-4199
(218) 723-6289
Mailing address
1200 KENWOOD AVE, DULUTH, MN 55811-4199
(218) 723-6289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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