Individual
JAMES FITZGERALD CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
720 E MINERS DR, ELY, MN 55731-1400
(218) 365-0001
Mailing address
720 E MINERS DR, ELY, MN 55731-1400
(218) 365-0001
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
822252
MN
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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